Shannon Donovan, PHARMD
Individual provider Active NPI Pharmacist · Chinle, AZ
NPI 1780149112 · NPPES record last updated Feb 11, 2019
Key facts
- NPI
- 1780149112
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI03963400 (NJ)
- Practice address
- U.S. 191 & Hospital Drive
Chinle, AZ 86503 - Phone
- (928) 674-7001
- NPI assigned
- Feb 11, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03963400 | NJ | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03963400 | NJ | Yes |
Addresses
Primary practice location
U.S. 191 & Hospital Drive
Chinle, AZ 86503
Mailing address
U.S. 191 & Hospital Drive
Attn: Pharmacy Department
Chinle, AZ 86503
Phone (928) 674-7001
Other providers in Chinle, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.