SHANNON PHARMACY (NPI# 1386748333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386748333 |
| Entity Type | Organization |
| Organization Name | SHANNON PHARMACY |
| Other Organization Name | SHANNON PHARMACY |
| Practice Address |
5855 New Calhoun Hwy Ne Rome GA 30161-8253 |
| Mailing Address |
Po Box 315 Shannon GA 30172-0315 |
| Practice Telephone | 7062954772 |
| Practice Fax Number | 7062952866 |
| Mailing Telephone | 7062954772 |
| Mailing Fax Number | 7062952866 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2016-06-13 |
| Authorized Official Name | WILLIAM RATLIFF (OWNER) |
| Authorized Official Telephone | 7062954772 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE008861 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2015642 | 01 | |
| GA | 779754709A | 05 |
| Other Name | Type Code |
|---|---|
| SHANNON PHARMACY | Doing Business As Name - Organization |
| Street Address |
5855 NEW CALHOUN HWY NE |
| City | ROME |
| State | GA |
| Zip Code | 30161-8253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069256 | Three Rivers Housing and Development Corporation | Chore Provider | 326 W. 9th St, Rome, GA 30161 | 2020-03-27 |
| 1144865957 | Eric Alan Fuller | Audiologist-Hearing Aid Fitter | 700 East 2nd Street, Suite C, Rome, GA 30161 | 2019-11-15 |
| 1003394883 | Cindy V Shelton | Health Educator | 204 E 1st Ave, Rome, GA 30161 | 2018-08-02 |
| 1083153597 | Julie Oglesby Allen | Counselor | 1 S Broad St Sw Ste 5, Rome, GA 30161 | 2017-02-16 |
| 1902299530 | Michael Thomas Phillips | Pharmacist | 2005 Maple Street, Rome, GA 30161 | 2015-03-06 |
| 1407259112 | Angela Smith | Community/Behavioral Health | 109 John Maddox Suite 200, Rome, GA 30161 | 2014-10-08 |
| 1215344379 | Nancy Patel | Pharmacist | 1421 North Broad St, Rome, GA 30161 | 2014-07-21 |
| 1821336629 | Wendy Pence | Nurse Practitioner | 3001 Turner Mccall Blvd, Rome, GA 30161 | 2013-01-29 |
| 1558526202 | Marilyn Teresa Ringstaff | Registered Nurse | 1513 Dean St., Rome, GA 30161 | 2008-07-22 |
| 1134310147 | Reneka L Dobbs-jackson | Family Medicine | 420 E 2nd Ave Ste 103, Rome, GA 30161 | 2007-08-05 |
| Find all providers in zip 30161 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346650769 | Pranay Pharmacy LLC | Pharmacy | 823 Black River Blvd N, Rome, NY 13440-3549 | 2014-05-07 |
| 1205095767 | Ayush Pharmacy Corp | Pharmacy | 827 Black River Blvd N, Rome, NY 13440-3549 | 2008-06-09 |
| 1194887372 | Freds Stores of Tennessee Inc | Pharmacy | 4111 Martha Berry Hwy Nw, Rome, GA 30165-7705 | 2006-12-14 |
| 1871681205 | Eckerd Corporation | Pharmacy | Turin Road, Rome, NY 13440 | 2006-10-11 |
| 1598868010 | Georgia Cvs Pharmacy LLC | Pharmacy | 911 Shorter Ave Sw, Rome, GA 30165-4164 | 2006-09-07 |
| 1417962523 | Walgreen Co | Pharmacy | 701 Martha Berry Blvd Nw, Rome, GA 30165-1637 | 2006-07-29 |
| 1831128552 | North Heights Pharmacy Inc | Pharmacy | 411 W 10th St Ne, Rome, GA 30165-2640 | 2006-07-03 |
| 1083088181 | Floyd Healthcare Management, Inc | Pharmacy | 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | 2015-11-30 |
| 1982036836 | Freds Stores of Tennessee Inc | Pharmacy | 1916 Redmond Cir Nw, Rome, GA 30165-1320 | 2013-08-02 |
| 1487741690 | Prescription Center Pharmacy of Rome, Inc. | Pharmacy | 143 N Washington St, Rome, NY 13440-5822 | 2006-10-07 |
| Find all providers in ROME | ||||
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| 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.