Individual provider Active NPI

Stacy Parrish Shannon, PHARM.D.

  • Pharmacist
  • Franklin, NC
National Provider Identifier
1891279675
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14576 Issued in NC
Practice address
120 Riverview St
Franklin, NC 28734-2612
Phone
(828) 369-4214
Fax
(828) 349-6667
NPI assigned
Sep 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 700162 NC
Pharmacist 183500000X 14576 NC Primary

Addresses

Primary practice location

120 Riverview St
Franklin, NC 28734-2612

Mailing address

3281 Bryson City Rd
Franklin, NC 28734-4314
Phone (828) 369-4214

Other identifiers 2

IdentifierTypeStateIssuer
14576OtherNCNC BOARD OF PHARMACY LICENSE
700162OtherNCCLINICAL PHARMACIST PRACTITIONER

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
700162NCMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
14576NCMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1891279675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3281 BRYSON CITY RD",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287344314",
            "telephone_number": "828-369-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 RIVERVIEW ST",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287342612",
            "telephone_number": "828-369-4214",
            "fax_number": "828-349-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "STACY",
        "middle_name": "PARRISH",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NC",
            "license": "700162",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "14576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF PHARMACY LICENSE",
            "identifier": "14576",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL PHARMACIST PRACTITIONER",
            "identifier": "700162",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.