Daniell Shannon, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

16977 Issued in OK

Practice address

802 W Gore Blvd
Lawton, OK 73501-3719

Phone

(580) 353-4113

Fax

(580) 357-3862

NPI assigned

Feb 11, 2021

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

Credentials

Doctor of Pharmacy

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.

• Eastside Clinic Pharmacy

  • Community/Retail Pharmacy
  • Lawton, OK
  • NPI 1215958285
  NPD (past)
• Eastside Clinic Pharmacy

  • Long Term Care Pharmacy
  • Lawton, OK
  • NPI 1427841360
  NPD (past)
• Kens RX Discount Pharmacy

  • Pharmacy
  • Lawton, OK
  • NPI 1366654675
  NPD (past)
• Kens RX Discount Pharmacy

  • Community/Retail Pharmacy
  • Lawton, OK
  • NPI 1730230665
  NPD (past)

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1790378644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 NW ARLINGTON AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056124",
            "telephone_number": "405-990-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013719",
            "telephone_number": "580-353-4113",
            "fax_number": "580-357-3862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3612 SE Lee Blvd",
            "address_purpose": "LOCATION",
            "city": "Lawton",
            "state": "OK",
            "postal_code": "735018451",
            "country_code": "US",
            "telephone_number": "580-355-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "DANIELL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "16977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan C Shady
• Allison Shafer
• Joshua Caleb Shahbandeh, MD, MPH
• Nur-Alhuda Shahub
• Shannon Griffin, DMD, PLLC
• Lisa Elliott Sharp, DPH
• Philip Noel Sharp
• Sheila Yvette Sharp
• Connie Shaver
• Virginia J Shaw-Scherler, CRNA

• Pharmacist in Lawton, OK
• Providers in Lawton, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.