Individual provider Active NPI

Shannon Stewart Sachon, PHARMD

  • Pharmacist
  • Clearwater, FL
National Provider Identifier
1760720189
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS46216 Issued in FL
Practice address
525 S Belcher Rd
Clearwater, FL 33764-6321
Phone
(727) 791-0169
Fax
(727) 791-0296
NPI assigned
Jan 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS46216 FL Primary

Addresses

Primary practice location

525 S Belcher Rd
Clearwater, FL 33764-6321

Mailing address

525 S Belcher Rd
Clearwater, FL 33764-6321
Phone (727) 791-0169

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

LicenseStateTypeSpecialty
PS46216FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1760720189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 S BELCHER RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337646321",
            "telephone_number": "727-791-0169",
            "fax_number": "727-791-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S BELCHER RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337646321",
            "telephone_number": "727-791-0169",
            "fax_number": "727-791-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHON",
        "first_name": "SHANNON",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS46216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.

Verify at the official NPI Registry.