Active NPI
Shannon Habermas, PHARMD
- Pharmacist
- Warren, MI
National Provider Identifier
1609200658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302039448
- Practice address
- 28800 Dequindre Rd
Warren, MI 48092-2466 - Phone
- (586) 489-5107
- NPI assigned
- Aug 27, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302039448 | MI | Primary |
Addresses
Primary practice location
28800 Dequindre Rd
Warren, MI 48092-2466
Mailing address
29724 Manhattan St
Saint Clair Shores, MI 48082-1647
Phone (586) 489-5107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302039448 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377561600000",
"number": "1609200658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29724 MANHATTAN ST",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480821647",
"telephone_number": "586-489-5107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28800 DEQUINDRE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480922466",
"telephone_number": "586-489-5107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABERMAS",
"first_name": "SHANNON",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-27",
"last_updated": "2013-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302039448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.