Individual provider Active NPI

Stanley Dean Shawn, RPH

  • Pharmacist
  • Monahans, TX
National Provider Identifier
1982825329
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21076 Issued in TX
Practice address
1201 S Stockton Ave
Monahans, TX 79756-6032
Phone
(432) 943-4445
Fax
(432) 943-4464
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21076 TX Primary

Addresses

Primary practice location

1201 S Stockton Ave
Monahans, TX 79756-6032

Mailing address

1303 E 15TH St
Monahans, TX 79756-6326
Phone (432) 943-8560

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
21076TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pay and Save Inc Past Accepting new patients
Pay and Save Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982825329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 E 15TH ST",
            "city": "MONAHANS",
            "state": "TX",
            "postal_code": "797566326",
            "telephone_number": "432-943-8560",
            "fax_number": "432-943-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S STOCKTON AVE",
            "city": "MONAHANS",
            "state": "TX",
            "postal_code": "797566032",
            "telephone_number": "432-943-4445",
            "fax_number": "432-943-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAWN",
        "first_name": "STANLEY",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "21076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monahans, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.