Shannon Celeste Scarborough

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

18042 Issued in GA

Practice address

1524 Highway 16 W
Griffin, GA 30223-2046

Phone

(770) 229-7430

Fax

(770) 229-7435

NPI assigned

Mar 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kroger Co

  • Community/Retail Pharmacy
  • Bethlehem, GA
  • NPI 1154294205
  NPD (past)
• Kroger Co

  • Community/Retail Pharmacy
  • Griffin, GA
  • NPI 1629321823
  NPD (past)

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1659907434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SUMMERS FIELD RD",
            "city": "BARNESVILLE",
            "state": "GA",
            "postal_code": "302041765",
            "telephone_number": "770-584-6939",
            "fax_number": "770-229-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 HIGHWAY 16 W",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302232046",
            "telephone_number": "770-229-7430",
            "fax_number": "770-229-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARBOROUGH",
        "first_name": "SHANNON",
        "middle_name": "CELESTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "GA",
            "license": "18042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arushi Sangwan, MBBS
• Doris Marie Santiago, MA
• Jolina Pamela C Santos, MD
• Sarae Laki Inv
• SBZ Services Unlimited
• Gary Edward Schofield Jr., ATC, CSCS
• Stuart Emory Schroeter, D.M.D.
• Stephanie Ann Schurman
• Kim Schwartz, PHARM.D
• Ivy T Scoggin, MED, CCC-SLP

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Griffin, GA
• Providers in Griffin, GA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.