DR. SHANNON SCOTT GERGEN (NPI# 1437276458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437276458 |
| Entity Type | Individual |
| Full Name | DR. SHANNON SCOTT GERGEN |
| Credential | PHARM.D. |
| Practice Address |
6643 Shepley Dr Saint Louis MO 63105-2354 |
| Mailing Address |
1 Brookings Dr Campus Box 1201 Saint Louis MO 63130-4862 |
| Practice Telephone | 3149356662 |
| Mailing Telephone | 3149356662 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2011-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 2005012074 | MO | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 051.290355 | IL | Pharmacy Service Providers |
| Street Address |
6643 SHEPLEY DR |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63105-2354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093339590 | David Henry Anderson | Specialist/Technologist | 6643 Shepley Dr, Saint Louis, MO 63105-2354 | 2020-06-01 |
| 1124595277 | Denise Meyer | Registered Nurse | 6643 Shepley Dr, Saint Louis, MO 63105-2354 | 2018-10-26 |
| 1104367580 | Barbara Merz | Registered Nurse | 6643 Shepley Dr, Saint Louis, MO 63105-2354 | 2017-03-17 |
| 1730566514 | Melissa Pape | Registered Nurse | 6643 Shepley Dr, Saint Louis, MO 63105-2354 | 2015-04-30 |
| 1942694658 | Laboratory Corporation of America | Clinical Medical Laboratory | 6643 Shepley Dr, Suite A, Saint Louis, MO 63105-2354 | 2015-03-20 |
| 1225442270 | Barbara Ritter | Registered Nurse | 6643 Shepley Dr, Saint Louis, MO 63105-2354 | 2014-06-18 |
| 1558601518 | Habif Health and Wellness Center | Clinic/Center | 6643 Shepley Dr, Saint Louis, MO 63105-2354 | 2013-02-27 |
| 1346586245 | Melissa Wilson | Registered Nurse | 6643 Shepley Dr, Saint Louis, MO 63105-2354 | 2012-12-20 |
| 1447502034 | Traci R Debeir | Registered Nurse | 6643 Shepley Dr, Saint Louis, MO 63105-2354 | 2012-10-08 |
| 1659622082 | Marie M Byington | Registered Nurse | 6643 Shepley Dr, Saint Louis, MO 63105-2354 | 2012-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016545 | Amy Piontek | Registered Nurse | Habif Health and Wellness Center, 6643 Shepley Drive, St. Louis, MO 63105 | 2020-05-29 |
| 1427520634 | Justin Kelly | Chiropractor | 8011 Maryland Avenue, St. Louis, MO 63105 | 2018-12-28 |
| 1720576663 | St. Louis Center for Cognitive Health, LLC | Clinic/Center | 7711 Bonhomme Ave Ste 350, Clayton, MO 63105 | 2018-04-26 |
| 1457849317 | A Storied Life Counseling LLC | Social Worker | 8000 Bonhomme Ave Ste 321, Clayton, MO 63105 | 2018-04-26 |
| 1669984142 | Peter Bogart | Counselor | 7710 Carondelet, Suite #204, Saint Louis, MO 63105 | 2017-10-24 |
| 1356891162 | Medical West Respiratory Pharmacy, LLC | Pharmacy | 440 South Brentwood Blvd, Clayton, MO 63105 | 2016-10-05 |
| 1710435565 | James Breihan | Occupational Therapist | 401 Corporate Park Drive, Clayton, MO 63105 | 2016-09-21 |
| 1730566928 | Frank Theus | Counselor | 7710 Carondelet Ave Ste 220, Saint Louis, MO 63105 | 2015-04-27 |
| 1962895896 | John B Martin | Obstetrics & Gynecology | 312 N. Meramec #300, St. Louis, MO 63105 | 2015-03-17 |
| 1861814261 | Jesse Marie Civello | Physical Therapist | 222 S Meramec Avenue, Suite 100, Clayton, MO 63105 | 2014-01-20 |
| Find all providers in zip 63105 | ||||
| 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 |
|---|---|---|---|---|
| 1457959736 | Andrea Williams | Pharmacist | 13231 Windbrooke Ln, Saint Louis, MO 63146-2221 | 2020-10-09 |
| 1417564196 | Barbara Rodgers | Pharmacist | 4700 N Hanley Rd Ste 256, Saint Louis, MO 63134-2700 | 2020-09-28 |
| 1396358339 | Michael A Heltzel | Pharmacist | 630 Emerson Rd Apt 307, Saint Louis, MO 63141-6764 | 2020-08-28 |
| 1295345866 | Elyar Gasanli | Pharmacist | 159 Lindbergh Place Dr, Saint Louis, MO 63146-5902 | 2020-08-07 |
| 1063039360 | Brad Collins | Pharmacist | 4240 Duncan Ave Ste 200, Saint Louis, MO 63110-1123 | 2020-07-02 |
| 1932720182 | Thomas Valiaparampil | Pharmacist | 7328 Cheshire Ln, Saint Louis, MO 63123-2125 | 2020-04-29 |
| 1467080945 | Ehikhuemhen Enaholo | Pharmacist | 5132 Waterman Blvd Apt 209, Saint Louis, MO 63108-1137 | 2020-03-30 |
| 1700425204 | Mena Khaled | Pharmacist | 9031 Big Chief Dr, Saint Louis, MO 63123-6605 | 2019-12-31 |
| 1952964652 | Almir Muharemovic | Pharmacist | 1205 Mangrove Ln Apt 6, Saint Louis, MO 63125-5631 | 2019-04-17 |
| 1215496518 | Ryan Freund | Pharmacist | 1861 Craig Park Ct, Saint Louis, MO 63146-4122 | 2019-03-16 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63105 |
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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.