Individual provider Active NPI

Shannon Marie Goblirsch, PHARM.D.,R.PH.

  • Pharmacist
  • Morton, MN
National Provider Identifier
1982692885
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
117045-0 Issued in MN
Practice address
39648 Reservation Highway 3
Morton, MN 56270-0299
Phone
(507) 697-8950
Fax
(507) 697-8954
NPI assigned
Oct 13, 2005
Last updated
Feb 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 117045-0 MN Primary

Addresses

Primary practice location

39648 Reservation Highway 3
Morton, MN 56270-0299

Mailing address

PO Box 299
39648 Reservation Highway 3
Morton, MN 56270-0299
Phone (507) 697-8950

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
117045-0MNMDPharmacist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1982692885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "address_2": "39648 RESERVATION HIGHWAY 3",
            "city": "MORTON",
            "state": "MN",
            "postal_code": "562700299",
            "telephone_number": "507-697-8950",
            "fax_number": "507-697-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39648 RESERVATION HIGHWAY 3",
            "city": "MORTON",
            "state": "MN",
            "postal_code": "562700299",
            "telephone_number": "507-697-8950",
            "fax_number": "507-697-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBLIRSCH",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "PHARM.D.,R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "117045-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton, MN

Sources for this page

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