Shawna Ann Penick, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

1-100192 Issued in KS

Practice address

1700 N 14TH Ave
Dodge City, KS 67801-3413

Phone

(620) 225-6140

NPI assigned

Feb 22, 2017

Last updated

Feb 22, 2017By 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dillon Companies LLC

  dba Dillon Pharmacy #001

  • Community/Retail Pharmacy
  • Dodge City, KS
  • NPI 1376583195
  NPD (past)
• Dillon Companies LLC

  dba King Soopers Pharmacy #153

  • Community/Retail Pharmacy
  • Fountain, CO
  • NPI 1194524165
  NPD (past)

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1952840068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N 14TH AVE",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678013413",
            "telephone_number": "620-225-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N 14TH AVE",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678013413",
            "telephone_number": "620-225-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENICK",
        "first_name": "SHAWNA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-100192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parker Sutton Counseling Services LLC
• Nicole Marie Parker-Sutton, MSW
• Pathlab LLC
• Samantha Marie Pearce, DC
• Michael Andrew Pelton, ATC, AEMT
• Perfect Fit Foundation of SWK LLC (Perfect Fit Therapy Clinic)
• Jared Christopher Peters, D.C.
• Pharmacy Associates of Dodge City, Inc (Gibson's Pharmacy)
• Pharmacy Associates of Dodge City, Inc (Gibson's Pharmacy)
• Phillips Chiropractic P.a.

• Pharmacist in Dodge City, KS
• Providers in Dodge City, KS by specialty
• Pharmacist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.