Active NPI
Shannon Donovan, PHARMD
- Pharmacist
- Chinle, AZ
National Provider Identifier
1780149112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03963400
- Practice address
- U.S. 191 & Hospital Drive
Chinle, AZ 86503 - Phone
- (928) 674-7001
- NPI assigned
- Feb 11, 2019
- Last updated
- Feb 11, 2019
- 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 | 28RI03963400 | NJ | Primary |
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
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 |
|---|---|---|---|
| 28RI03963400 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1780149112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "U.S. 191 & HOSPITAL DRIVE",
"address_2": "ATTN: PHARMACY DEPARTMENT",
"city": "CHINLE",
"state": "AZ",
"postal_code": "86503",
"telephone_number": "928-674-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "U.S. 191 & HOSPITAL DRIVE",
"city": "CHINLE",
"state": "AZ",
"postal_code": "86503",
"telephone_number": "928-674-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVAN",
"first_name": "SHANNON",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-11",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03963400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chinle, AZ
- DHHS PHS Naihs Chinle Comprehensive Health Care Facility (Many Farms Dental)
- DHHS PHS Naihs Chinle Comprehensive Health Care Facility
- Claudia Carolina Diaz, M.D.
- Sandra Dodge, APRN,BC
- John A. Doerner, M.D.
- Tanieca Marie Downing, RD, LD
- Starr Love Draper
- Paul J Drinen, M.D.
- Russell John Duke, D.M.D.
- Antonio T Duran, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.