MR. PATRICK DEWAYNE SHANNON
NPI 1396028171
Pharmacist in Fort Wayne, IN

Active since September 27, 2011
110 E CREIGHTON AVE, FORT WAYNE, IN 46803(260) 456-1841 Get Directions Write a Review

NPPES record last updated: September 27, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Patrick Dewayne Shannon NPPES

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

MR. PATRICK DEWAYNE SHANNON (NPI 1396028171) is an individual pharmacist in Fort Wayne, Indiana, licensed in Indiana (26018335A) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1396028171
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. PATRICK DEWAYNE SHANNON
Location Address110 E CREIGHTON AVEFort Wayne, IN 46803-3344
Mailing Address6219 Wilmarbee DrFort Wayne, IN 46804-1543 · (260) 433-5409
Sole ProprietorYes
Enumeration DateSeptember 27, 2011
NPI 1396028171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IN · 26018335A
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.

110 E CREIGHTON AVE, Fort Wayne, IN 46803

Other Providers at the Same Location NPPES 3

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

Pharmacist
110 E CREIGHTON AVE
FORT WAYNE, IN 46803
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
110 E CREIGHTON AVE
FORT WAYNE, IN 46803
Pharmacy
110 E CREIGHTON AVE
FORT WAYNE, IN 46803

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 Patrick Shannon's NPI number?

The NPI number for Patrick Shannon is 1396028171. It was assigned to this individual provider in the NPPES registry on September 27, 2011.

Where is Patrick Shannon located?

Patrick Shannon practices at 110 E Creighton Ave, Fort Wayne, IN 46803. The listed phone number is (260) 456-1841.

What is Patrick Shannon'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 Patrick Shannon was last updated on September 27, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.