Active NPI
Shannon Michael Hardage, PHARMD
- Pharmacist
- Arkadelphia, AR
National Provider Identifier
1922670488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD15757
- Practice address
- 109 WP Malone Dr
Arkadelphia, AR 71923 - Phone
- (870) 246-5420
- NPI assigned
- Jul 14, 2021
- Sex
- Male
- 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 | PD15757 | AR | Primary |
Addresses
Primary practice location
109 WP Malone Dr
Arkadelphia, AR 71923
Mailing address
2202 Highway 128
Bismarck, AR 71929-6595
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 |
|---|---|---|---|
| PD15757 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626220800000",
"number": "1922670488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 HIGHWAY 128",
"city": "BISMARCK",
"state": "AR",
"postal_code": "719296595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 WP MALONE DR",
"city": "ARKADELPHIA",
"state": "AR",
"postal_code": "71923",
"telephone_number": "870-246-5420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDAGE",
"first_name": "SHANNON",
"middle_name": "MICHAEL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-14",
"last_updated": "2021-07-14",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD15757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arkadelphia, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.