Shannon Mensing, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

051302186 Issued in IL

Practice address

1350 W Highway 50
O Fallon, IL 62269-1615

Phone

(618) 622-0507

NPI assigned

Nov 4, 2020

Last updated

Nov 4, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1649871823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 W HIGHWAY 50",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691615",
            "telephone_number": "618-622-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 W HIGHWAY 50",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691615",
            "telephone_number": "618-622-0507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Illini Dr",
            "address_purpose": "LOCATION",
            "city": "Glen Carbon",
            "state": "IL",
            "postal_code": "620343927",
            "country_code": "US",
            "telephone_number": "618-659-7339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENSING",
        "first_name": "SHANNON",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2019033553",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051302186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nitika Dinesh Mehta, D.D.S.
• Gerusa Mello-Anderson, D.D.S.
• Rai'Annah Lori Mendez
• Jeannette Mendoza-Martinez
• Myah Rae Mense
• Michelle Denise Merrick, OTD
• Taylor Ross Merritt, LPHA
• Haley Merten
• Metro-East Anp Services Inc
• Metro-East Services, Inc. (Memorial Hospital East)

• Pharmacist in O'Fallon, IL
• Providers in O'Fallon, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.