Active NPI
Shannon Roth, PHARM D
- Pharmacist
- Millersburg, PA
National Provider Identifier
1902219421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP444757
- Practice address
- 242 Market St
Millersburg, PA 17061-1334 - Phone
- (717) 692-2161
- NPI assigned
- Jun 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP444757 | PA | Primary |
| Pharmacist | 183500000X | RPI002432 | PA |
Addresses
Primary practice location
242 Market St
Millersburg, PA 17061-1334
Mailing address
242 Market St
Millersburg, PA 17061-1334
Phone (717) 692-2161
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 |
|---|---|---|---|
| RP444757 | PA | MD | Pharmacist |
| RPI002432 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401753600000",
"number": "1902219421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 MARKET ST",
"city": "MILLERSBURG",
"state": "PA",
"postal_code": "170611334",
"telephone_number": "717-692-2161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 MARKET ST",
"city": "MILLERSBURG",
"state": "PA",
"postal_code": "170611334",
"telephone_number": "717-692-2161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "SHANNON",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-03",
"last_updated": "2014-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP444757",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RPI002432",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millersburg, PA
- Ann Marie Potter, OTRL
- Premier at Susquehanna for Nursing and Rehabilitation LLC
- Stephanie K Rada, DPT
- Renal Care Group East, Inc. (Renal Care Group Millersburg)
- Stephanie Riddle, LSW
- Melise Mullins Rowan, D.P.T.
- Jennifer C Rudolph, DPT
- David Richard Russell, DMD
- Lisa G Schutt, DPT
- Ann Seaton, ATC, LAT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.