DR. JENNIFER ANN SHANNON (NPI# 1154688307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154688307 |
Entity Type | Individual |
Full Name | DR. JENNIFER ANN SHANNON |
Other Name | MISS JENNIFER ANN GEORGE |
Credential | PHARMD |
Practice Address |
625 Old Peachtree Rd Nw Suwanee GA 30024-2937 |
Practice Telephone | 6784077369 |
Practice Fax Number | 6784077347 |
Mailing Telephone | 6784077369 |
Mailing Fax Number | 6784077347 |
Enumeration Date | 2012-04-12 |
Last Update Date | 2012-04-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH024805 | GA | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851864144 | Jennifer Kathleen Shannon | Peer Specialist | 2945 Willowrow Ave Ne, Canton, OH 44705-3612 | 2019-01-09 |
1033480827 | Jennifer Shannon | Speech-Language Pathologist | 996 Eastwind Ave, Toms River, NJ 08753-7927 | 2012-01-25 |
1083928782 | Jennifer Shannon | Dentist | 4400 Deer Path Rd Ste 101, Harrisburg, PA 17110-3908 | 2010-08-05 |
1013982768 | Jennifer Joy Shannon | Counselor | 613 College Ave, Santa Rosa, CA 95404-4104 | 2006-02-17 |
1396216776 | Jennifer Mary Shannon | Registered Nurse | 400 Doansburg Rd, Brewster, NY 10509-5902 | 2018-12-11 |
1891139960 | Jennifer Shannon | Occupational Therapist | 9200 Franklin Square Dr, Baltimore, MD 21237-4458 | 2013-04-19 |
1356362842 | Jennifer Cheng Shannon | Psychiatry & Neurology | 2100 Caton Way Sw, Olympia, WA 98502-1105 | 2006-07-21 |
1528050812 | Jennifer Louise Shannon | Counselor | 30 Conwell St, #1, Provincetown, MA 02657-1548 | 2005-08-22 |
Street Address |
625 OLD PEACHTREE RD NW |
City | SUWANEE |
State | GA |
Zip Code | 30024-2937 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457349094 | Sara Wilson Reece | Pharmacist | 625 Old Peachtree Rd Nw, Suwanee, GA 30024-2937 | 2005-10-07 |
1649879677 | Savannah Sanders | Student in an Organized Health Care Education/Training Program | 625 Old Peachtree Rd Nw, Suwanee, GA 30024-2937 | 2020-10-21 |
1508463571 | Vy Thy Ngo | Student in an Organized Health Care Education/Training Program | 625 Old Peachtree Rd Nw, Suwanee, GA 30024-2937 | 2020-10-02 |
1114534492 | Ngoc Tram Dang | Student in an Organized Health Care Education/Training Program | 625 Old Peachtree Rd Nw, Suwanee, GA 30024-2937 | 2020-09-30 |
1174135420 | Nyce Keiyoro | Student in an Organized Health Care Education/Training Program | 625 Old Peachtree Rd Nw, Suwanee, GA 30024-2937 | 2020-08-18 |
1225649866 | Sonia Lal | Student in an Organized Health Care Education/Training Program | 625 Old Peachtree Rd Nw, Suwanee, GA 30024-2937 | 2020-08-16 |
1265043145 | Jessica Irene Larosa | Student in an Organized Health Care Education/Training Program | 625 Old Peachtree Rd Nw, Suwanee, GA 30024-2937 | 2020-08-13 |
1275144180 | Kelley Davis | Student in an Organized Health Care Education/Training Program | 625 Old Peachtree Rd Nw, Suwanee, GA 30024-2937 | 2020-08-13 |
1033729538 | Rachael Leah Brooks | Student in an Organized Health Care Education/Training Program | 625 Old Peachtree Rd Nw, Suwanee, GA 30024-2937 | 2020-08-09 |
1144830589 | Abbey Stewart | Student in an Organized Health Care Education/Training Program | 625 Old Peachtree Rd Nw, Suwanee, GA 30024-2937 | 2020-07-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356996565 | Stephanie Arkin | Student in an Organized Health Care Education/Training Program | 25 Old Peachtree Rd Nw, Suwanee, GA 30024 | 2019-08-05 |
1164989638 | Laquitta Craft | Registered Nurse | 2855 Lawrenceville Suwanee Road Suite 330/340, Suwanee, GA 30024 | 2019-02-21 |
1467937235 | Greater Atlanta Monitoring, LLC | Electrodiagnostic Medicine | 3651 Peachtree Ste E. #331, Suwanee, GA 30024 | 2018-09-27 |
1760963482 | Esther Natacha Lafontant | Public Health or Welfare | 3205 Maple Terrace Drive, Suwanee, GA 30024 | 2018-08-22 |
1740778463 | Immaculate Healthcare Solutions, LLC | Home Health | 970 Peachtree Industrial Blvd Ste 8, Suwanee, GA 30024 | 2018-04-27 |
1053819235 | Sean Wonsuk Jang | Chiropractor | 3370 Lawrenceville Suwanee Rd Ste 118, Suwanee, GA 30024 | 2018-01-23 |
1932628468 | Silver Health Services, Inc. | Case Manager/Care Coordinator | 2640 Westbury Court, Swanee, GA 30024 | 2017-09-15 |
1285159095 | April L. Rivers | Nurse Practitioner | 4411 Suwanee Dam Rd Ste 110, Suwanee, GA 30024 | 2017-08-14 |
1144743840 | Nabil Elkareh | Pharmacist | 5049 Tarry Glen Drive., Suwanee, GA 30024 | 2017-07-25 |
1720508294 | Robert A Finkel Dds PC | Clinic/Center | 1325 Satellite Blvd Nw Ste 1304, Suwanee, GA 30024 | 2017-06-26 |
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Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205145778 | A & N Healthcare Consulting Group, LLC | Pharmacist | 3809 Baxley Ridge Dr, Suwanee, GA 30024-4503 | 2010-10-01 |
1801495882 | Mijung Om | Pharmacist | 400 Peachtree Industrial Blvd, Suwanee, GA 30024-6989 | 2020-10-21 |
1407455561 | Marjan Zafar | Pharmacist | 3651 Peachtree Pkwy, Suwanee, GA 30024-6034 | 2020-10-20 |
1841899192 | Jessica Lenahan | Pharmacist | 400 Peachtree Industrial Blvd, Suwanee, GA 30024-6989 | 2020-10-19 |
1629676101 | Pooja Patel | Pharmacist | 3651 Peachtree Pkwy, Suwanee, GA 30024-6034 | 2020-10-15 |
1962036533 | Susanne Emerich | Pharmacist | 2121 Lawrenceville Suwanee Rd, Suwanee, GA 30024-2657 | 2020-02-23 |
1174153175 | Winnie Lee | Pharmacist | 2121 Lawrenceville Suwanee Rd, Suwanee, GA 30024-2657 | 2020-01-19 |
1659901635 | Nitin Patel | Pharmacist | 400 Peachtree Industrial Blvd, Suwanee, GA 30024-6989 | 2020-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306445747 | Hiep Hoang Do | Pharmacist | 801 Burns Estates Dr, Lilburn, GA 30047-3484 | 2020-10-17 |
1518565902 | Edward Edeh | Pharmacist | 1232 South Hairstoh Road, Stone Mountain, GA 30088 | 2020-10-16 |
1548868342 | Jackson Gathuru Ngugi | Pharmacist | 193 Anniversary Ln, Acworth, GA 30102-2045 | 2020-10-14 |
1568086494 | Lynn Berner Marshall | Pharmacist | 3823 Club Forest Dr, Peachtree Corners, GA 30092-2369 | 2020-06-06 |
1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
1073132676 | Khushboo S Rhodes | Pharmacist | 3101 Roswell Rd Ste 132, Marietta, GA 30062-5523 | 2020-04-14 |
1194354647 | Deanna W Mcewen | Pharmacist | 1720 Epps Bridge Road, Athens, GA 30606-6132 | 2020-04-06 |
1104452663 | Latrena Solomon | Pharmacist | 1750 Highway 138 E, Stockbridge, GA 30281-2810 | 2020-03-17 |
1497389597 | Rx Healthcare Ltd | Pharmacist | 2136 W Park Ct Ste I, Stone Mountain, GA 30087-3528 | 2020-02-27 |
1972136273 | Shannon Sulik | Pharmacist | 774 Highway 96, Bonaire, GA 31005-3300 | 2020-02-15 |
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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.