MR. SHANNON GERALD PEDERSON RPH
NPI 1356664536
Pharmacist in Vancouver, WA

Active since March 02, 2010
2903 NE ANDRESSEN RD, VANCOUVER, WA 98661(360) 256-1503 Get Directions Write a Review

NPPES record last updated: March 2, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Shannon Gerald Pederson Rph NPPES

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

MR. SHANNON GERALD PEDERSON RPH (NPI 1356664536) is an individual pharmacist in Vancouver, Washington, licensed in Washington (PH00017762) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1356664536
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. SHANNON GERALD PEDERSONCredential: RPH
Location Address2903 NE ANDRESSEN RDVancouver, WA 98661
Mailing Address2903 Ne Andresen RdVancouver, WA 98661-7329 · (360) 256-1503
Sole ProprietorYes
Enumeration DateMarch 2, 2010
NPI 1356664536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in WA · PH00017762
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.
2903 NE ANDRESSEN RD, Vancouver, WA 98661

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 Pederson's NPI number?

The NPI number for Shannon Pederson is 1356664536. It was assigned to this individual provider in the NPPES registry on March 2, 2010.

Where is Shannon Pederson located?

Shannon Pederson practices at 2903 NE Andressen Rd, Vancouver, WA 98661. The listed phone number is (360) 256-1503.

What is Shannon Pederson'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 Pederson was last updated on March 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.