SHANNON ELAINE MCINTOSH (NPI# 1275794240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275794240 |
| Entity Type | Individual |
| Full Name | SHANNON ELAINE MCINTOSH |
| Other Name | SHANNON ELAINE SMITH |
| Credential | PHARMD |
| Practice Address |
577 Mid Rivers Mall Dr Saint Peters MO 63376 |
| Mailing Address |
577 Mid Rivers Mall Dr Saint Peters MO 63376-2113 |
| Practice Telephone | 6369702858 |
| Practice Fax Number | 6369700023 |
| Mailing Telephone | 6369702858 |
| Mailing Fax Number | 6369700023 |
| Enumeration Date | 2008-06-22 |
| Last Update Date | 2018-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2007022166 | MO | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2073 Washington Xing, Washington, MO 630905285 | 6362394120 | 6362394125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003104415 | Shannon Mcintosh | Physical Therapist | 9 Balmoral Dr Ste A, Poplarville, MS 39470-3344 | 2011-07-19 |
| 1326046806 | Shannon S Mcintosh | Nurse Practitioner | 205 W R D Mize Rd, Suite 304, Blue Springs, MO 64014-2518 | 2005-07-08 |
| Street Address |
577 MID RIVERS MALL DR |
| City | SAINT PETERS |
| State | MO |
| Zip Code | 63376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285273821 | Relebohile Sekonyela-rakolanyana | Pharmacist | 577 Mid Rivers Mall Dr, Saint Peters, MO 63376-2113 | 2019-12-30 |
| 1023594090 | Brittany Lasher | Pharmacist | 577 Mid Rivers Mall Dr, Saint Peters, MO 63376-2113 | 2018-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
| 1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
| 1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
| 1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
| 1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
| 1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
| 1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
| 1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
| Find all providers in zip 63376 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548544893 | Scott James Placek | Pharmacist | 48 Plaza Ninety-four Drive, Saint Peters, MO 63376 | 2011-10-05 |
| 1528669058 | Keith David Thompson | Pharmacist | 3031 Mid Rivers Mall Dr, Saint Peters, MO 63376-3426 | 2020-11-02 |
| 1558961029 | Daniel Henrichs | Pharmacist | 3031 Mid Rivers Mall Dr, Saint Peters, MO 63376-3426 | 2020-10-26 |
| 1629677208 | Nancy Graser | Pharmacist | 530 Mid Rivers Mall Dr, Saint Peters, MO 63376-2150 | 2020-10-23 |
| 1326668187 | Danielle Marie Pratt | Pharmacist | 4885 Mexico Rd, Saint Peters, MO 63376-2577 | 2020-04-22 |
| 1285273821 | Relebohile Sekonyela-rakolanyana | Pharmacist | 577 Mid Rivers Mall Dr, Saint Peters, MO 63376-2113 | 2019-12-30 |
| 1396397154 | Megan Kristine Miller | Pharmacist | 1661 Jungermann Rd, Saint Peters, MO 63304-2821 | 2019-07-11 |
| 1023594090 | Brittany Lasher | Pharmacist | 577 Mid Rivers Mall Dr, Saint Peters, MO 63376-2113 | 2018-07-12 |
| 1245716273 | Courtney Marie Mann | Pharmacist | 6083 Mid Rivers Mall Dr, Saint Peters, MO 63304-1108 | 2018-07-12 |
| 1588140784 | Aaron M Gervich | Pharmacist | 6083 Mid Rivers Mall Dr, Saint Peters, MO 63304-1108 | 2018-07-11 |
| Find all providers in SAINT PETERS | ||||
| City | SAINT PETERS |
| Zip Code | 63376 |
Please comment or provide details below to improve the information on SHANNON ELAINE MCINTOSH.
| 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.