Shannon Ridge, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

4183 Issued in WY

Practice address

1456 South St
Wheatland, WY 82201-2736

Phone

(307) 322-2486

NPI assigned

Nov 7, 2019

Last updated

Nov 7, 2019By the provider in NPPES

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

Other identifiers 1

Other names 1

• Shannon Hart Former name

Electronic endpoints 1

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Street Pharmacy, LTC

  • Long Term Care Pharmacy
  • Wheatland, WY
  • NPI 1215781000
  NPD
• South Street Pharmacy, LLC

  • Pharmacy
  • Wheatland, WY
  • NPI 1639482532
  NPD (past)

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1861037442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 KANSAS ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820098917",
            "telephone_number": "910-546-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 SOUTH ST",
            "city": "WHEATLAND",
            "state": "WY",
            "postal_code": "822012736",
            "telephone_number": "307-322-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDGE",
        "first_name": "SHANNON",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WY",
            "license": "4183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WYOMING BOP PHARMACIST LICENSE",
            "identifier": "4183",
            "state": "WY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sspharmacy@southstreetrx.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pharmacy",
            "address_1": "1456 South St",
            "city": "Wheatland",
            "state": "WY",
            "country_code": "US",
            "postal_code": "822012736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "HART",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer A Raser
• Ellen Reimers, DDS
• Julie Lorraine Resheske, CPNP
• Respitech Home Health Care Inc (Rotech)
• Mary Alyce Reynolds, L.P.N.
• Elizabeth Rosemarie Roark, BSW, MSW, PCSW-1175
• Deborah Diane Robertson, RNC,NNP
• Hayley Robertson, SLP
• Katherine Nicole Roth, FNP-C
• Rural Physicians Group - Pannu PLLC

• Pharmacist in Wheatland, WY
• Providers in Wheatland, WY by specialty
• Pharmacist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.

Verify at the official NPI Registry.