SHANNON CARLISLE


Address: 2605 Mclean Ct, O Fallon, MO 63368-7611
Phone: 2174332044

SHANNON CARLISLE (NPI# 1235677170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235677170
Entity Type Individual
Full Name SHANNON CARLISLE
Credential PHARMD
Practice Address 2605 Mclean Ct
O Fallon
MO 63368-7611
Practice Telephone 2174332044
Mailing Telephone 2174332044
Enumeration Date 2017-02-10
Last Update Date 2017-02-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 2014021073 MO Pharmacy Service Providers

Office Location

Street Address 2605 MCLEAN CT
City O FALLON
State MO
Zip Code 63368-7611

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NPI Name Taxonomy Address Enumeration
1134720329 Come As You Are Counseling LLC Counselor 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 2020-11-04
1770124802 Lisa N. Greer Technician 6911 Brassel Dr., Ofallon, MO 63368 2019-09-30
1770145716 Halie Faye Gulley Dentist 3009 Hwy K, O'fallon, MO 63368 2019-06-29
1972079556 Erin Corsi Fraundorf Dentist 3009 State Hwy K, O'fallon, MO 63368 2018-10-22
1427579960 Air Evac Ems, Inc. Ambulance 1001 Boardwalk Springs Pl Ste 250, O Fallon, MO 63368 2017-07-06
1528507472 Washeck Manual Therapy LLC Clinic/Center 3074 Winghaven Blvd, O'fallon, MO 63368 2017-02-13
1639618457 Brittany Hogan Physical Therapist 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 2017-02-13
1124561469 Cardinal Home Care LLC Home Health 18 Convent Garden Ct, O'fallon, MO 63368 2016-11-18
1336509272 Sarah Marie Mudd Counselor 1654 Bryan Road, O'fallon, MO 63368 2016-03-04
1588023956 Price-bourisaw Family Chiropractic Chiropractor 2917 State Highway K, O Fallon, MO 63368 2016-02-15
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326648155 Kayla Revermann Pharmacist 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 2020-10-30
1376194134 Michael Charles Cornwall Pharmacist 21 Shallowbrook Dr, O Fallon, IL 62269-1214 2019-09-24
1023594249 Brandon Frey Pharmacist 907 E Highway 50, O Fallon, IL 62269-2856 2018-07-11
1558702050 Katherine Michelle Derickson Pharmacist 247 Pheasant Point Blvd, O Fallon, MO 63368-7311 2013-07-12
1013262039 Charles Smith Pharmacist 601 W Falls Ct, O Fallon, MO 63368-9646 2012-07-16
1457626384 Jennifer Conrad Pharmacist 7776 Winghaven Blvd, O Fallon, MO 63368-3601 2012-03-10
1891071668 Lisa L Houston Pharmacist 24 Sterling Crossing Ct, O Fallon, MO 63368-7367 2011-10-25
1053694158 Walgreens Pharmacist 106 Huntington Crossing Dr, O Fallon, MO 63376-4271 2011-09-25
1366725616 Anthony P Webb Pharmacist 801 Highway K, O Fallon, MO 63366-2996 2011-09-23
1447531645 Rachel Romano Pharmacist 4650 Highway K, O Fallon, MO 63368-8728 2011-08-31
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Competitor

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City O FALLON
Zip Code 63368

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Dataset Information

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.

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