Active NPI
Shannon Stuart, PHARMD
- Pharmacist
- Springfield, IL
National Provider Identifier
1750898870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.302515
- Practice address
- 800 E Carpenter St
Springfield, IL 62769-2901 - Phone
- (309) 620-3600
- NPI assigned
- Jan 10, 2018
- Last updated
- Apr 24, 2020
- 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 | 051.302515 | IL | Primary |
Addresses
Primary practice location
800 E Carpenter St
Springfield, IL 62769-2901
Mailing address
211 Washington St
Hopedale, IL 61747-7541
Phone (309) 620-3600
Other practice location 1
5655 Frist Blvd
Hermitage, TN 37076-2053
Phone (615) 316-3000
Other practice location 2
7112 Highway 70 S
Nashville, TN 37221-2901
Phone (615) 662-1900
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 |
|---|---|---|---|
| 051.302515 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587686400000",
"number": "1750898870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 WASHINGTON ST",
"city": "HOPEDALE",
"state": "IL",
"postal_code": "617477541",
"telephone_number": "309-620-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E CARPENTER ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627692901",
"telephone_number": "309-620-3600"
}
],
"practiceLocations": [
{
"address_1": "5655 Frist Blvd",
"address_purpose": "LOCATION",
"city": "Hermitage",
"state": "TN",
"postal_code": "370762053",
"country_code": "US",
"telephone_number": "615-316-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7112 Highway 70 S",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372212901",
"country_code": "US",
"telephone_number": "615-662-1900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STUART",
"first_name": "SHANNON",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-10",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.302515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.