MRS. SHANNON TRACY CONSTANTINE
NPI 1104008135
Pharmacist in Eastport, NY

Active since November 30, 2007
23 EASTPORT MANOR RD, EASTPORT, NY 11941(631) 325-0665 Get Directions Write a Review

NPPES record last updated: November 30, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Shannon Tracy Constantine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHANNON TRACY CONSTANTINE (NPI 1104008135) is an individual pharmacist in Eastport, New York, licensed in New York (045698) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1104008135
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMRS. SHANNON TRACY CONSTANTINE
Location Address23 EASTPORT MANOR RDEastport, NY 11941-1410
Mailing Address4 Riviera CtWading River, NY 11792-2338 · (631) 929-0010
Sole ProprietorYes
Enumeration DateNovember 30, 2007
NPI 1104008135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in NY · 045698
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.

23 EASTPORT MANOR RD, Eastport, NY 11941

Other Identifiers 1

Medicaid045698NY

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
23 EASTPORT MANOR RD
EASTPORT, NY 11941
Pharmacist
23 EASTPORT MANOR RD
EASTPORT, NY 11941
Pharmacy
23 EASTPORT MANOR RD
EASTPORT, NY 11941
Pharmacist
23 EASTPORT MANOR RD
EASTPORT, NY 11941

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Constantine's NPI number?

The NPI number for Shannon Constantine is 1104008135. It was assigned to this individual provider in the NPPES registry on November 30, 2007.

Where is Shannon Constantine located?

Shannon Constantine practices at 23 Eastport Manor Rd, Eastport, NY 11941. The listed phone number is (631) 325-0665.

What is Shannon Constantine's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Shannon Constantine was last updated on November 30, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.