Shannon Jo Benner, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

013785 Issued in KY

Practice address

4101 Towne Center Dr
T-1071
Louisville, KY 40241-4146

Phone

(502) 412-2440

Fax

(502) 412-2440

NPI assigned

Jun 2, 2011

Last updated

Jun 2, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1992099329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 TOWNE CENTER DR",
            "address_2": "T-1071",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402414146",
            "telephone_number": "502-412-2440",
            "fax_number": "502-412-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 TOWNE CENTER DR",
            "address_2": "T-1071",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402414146",
            "telephone_number": "502-412-2440",
            "fax_number": "502-412-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNER",
        "first_name": "SHANNON",
        "middle_name": "JO",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "013785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Christopher Benge
• Helena Marie Benham
• Bailey Benidir, PHARMD
• Alduber Benitez
• Amanda Corinne Logan Benjamin
• Alona Bennett, LCSW
• Audrey Bennett, LMFT
• Christine Bennett, RN
• Deborah Sue Bennett, LCSW
• Donald Walter Bennett, OD MD

• Pharmacist in Louisville, KY
• Providers in Louisville, KY by specialty
• Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.