SHANNON HEALTH SYS PHARMACY PAP (NPI# 1285845214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285845214 |
| Entity Type | Organization |
| Organization Name | SHANNON HEALTH SYS PHARMACY PAP |
| Other Organization Name | SHANNON MEDICAL CENTER |
| Practice Address |
2030 Pulliam St Ste 16 San Angelo TX 76905-5170 |
| Practice Telephone | 3254816403 |
| Practice Fax Number | 3254818708 |
| Mailing Telephone | 3254816403 |
| Mailing Fax Number | 3254818708 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2019-06-26 |
| Authorized Official Name | MR. SHANE PLYMELL (PRESIDENT & CEO) |
| Authorized Official Telephone | 3256578217 |
| Is Organization Subpart | Y |
| Parent Organization Name | SHANNON MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| SHANNON MEDICAL CENTER | Other Name - Individual/Organization |
| Street Address |
2030 PULLIAM ST STE 16 |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76905-5170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639437197 | Richard Yeaton Burnell | Registered Nurse | 2018 Bus Us Highway 67-j, San Angelo, TX 76905 | 2012-05-02 |
| 1568752053 | Lucy Jo Smith | Counselor | 2710 Smith Blvd., San Angelo, TX 76905 | 2011-04-18 |
| 1821204587 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 2706 Watson Street, San Angelo, TX 76905 | 2007-05-16 |
| 1770688103 | Alan Keith Carson | Counselor | 218 Pulliam St., San Angelo, TX 76905 | 2006-09-13 |
| 1003951245 | David Nichols | Emergency Medicine | 2018 Pulliam St, San Angelo, TX 76905 | 2007-02-21 |
| 1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
| 1417340910 | Leslie Ann Rendon | Contractor | 1213 Rita Cir, San Angelo, TX 76905-4201 | 2015-03-09 |
| 1972925295 | Carlos Robledo | Pharmacist | 2626 Smith Blvd, San Angelo, TX 76905-4285 | 2014-01-07 |
| 1376163501 | Megan Elizabeth Barnum | Registered Nurse | 1231 Rita Cir, San Angelo, TX 76905-4292 | 2020-04-17 |
| 1588646392 | Shannon Joint Ventures, Inc | Internal Medicine | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2005-11-17 |
| Find all providers in zip 76905 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457495541 | Shannon Business Services, Inc. | Pharmacy | 119 E Beauregard Ave, San Angelo, TX 76903-5918 | 2007-02-20 |
| 1578638607 | City of San Angelo | Pharmacy | 2 City Hall Plaza, San Angelo, TX 76903 | 2006-11-22 |
| 1285743625 | H-e-b, Lp | Pharmacy | 3301 Sherwood Way, San Angelo, TX 76901 | 2006-08-30 |
| 1952415945 | Community Pharmacy | Pharmacy | 3520 Knickerbocker Rd Ste A, San Angelo, TX 76904-7601 | 2006-08-18 |
| 1508883760 | Wal-mart Stores Texas LLC | Pharmacy | 610 W 29th St, San Angelo, TX 76903-2828 | 2006-07-16 |
| 1962449397 | Albertsons LLC | Pharmacy | 1852 Sherwood Way, San Angelo, TX 76901-3960 | 2006-06-02 |
| 1356394449 | Lakeview Saveall Pharmacy | Pharmacy | 621 W 29th St, San Angelo, TX 76903-2827 | 2006-05-18 |
| 1720081656 | Pecos Street Pharmacy, Inc. | Pharmacy | 2102 Pecos St, Ste 4, San Angelo, TX 76901-3061 | 2005-05-24 |
| 1376629865 | Travis C. Meitzen,jr Hudman Drug | Pharmacy | 201 N Main St, San Angelo, TX 76903-4841 | 2006-10-27 |
| 1659374379 | Pecos Street Pharmacy, Inc. | Pharmacy | 2102 Pecos St, Ste 13, San Angelo, TX 76901-3061 | 2005-05-27 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76905 |
Please comment or provide details below to improve the information on SHANNON HEALTH SYS PHARMACY PAP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.