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SHANNON LEE BRANTLEY PHARMD
NPI 1609973916
Pharmacist in Mountain Home Afb, ID

Active since September 20, 2006
90 HOPE DR BLDG 6000, 366 MDSS/SGSAP, MOUNTAIN HOME AFB, ID 83648(208) 828-7480 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shannon Lee Brantley Pharmd NPPES

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

SHANNON LEE BRANTLEY PHARMD (NPI 1609973916) is an individual pharmacist in Mountain Home Afb, Idaho, licensed in Arizona (13742) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1609973916
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameSHANNON LEE BRANTLEYCredential: PHARMD
Location Address90 HOPE DR BLDG 6000, 366 MDSS/SGSAPMountain Home Afb, ID 83648-1062
Mailing Address420 E 12th NorthMountain Home, ID 83647 · (208) 587-3658
Phone(208) 828-7480
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609973916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in AZ · 13742
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.

90 HOPE DR BLDG 6000, Mountain Home Afb, ID 83648
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Other Providers at the Same Location NPPES 20

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

SYLVIA LASHAWN TOOMER DENTAL HYGIENIST
Dental Hygienist
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Elmore County (208) 828-7300
DR. JUDY ANN HAFNER PSYD
Psychologist
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Elmore County (208) 828-7580
MR. JOSEPH PAUL KEDDIE IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
90 HOPE DR BLDG 6000
MOUNTAIN HOME A F B, ID 83648
Elmore County (912) 592-6614
MR. OMAR D HERNANDEZ SOLANO IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
90 HOPE DR BLDG 6000, 366 AMDS/SGPF
MOUNTAIN HOME A F B, ID 83648
Elmore County (208) 828-7401
JOE CABALHIN DITTMAN IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
90 HOPE DR BLDG 6000
MOUNTAIN HOME A F B, ID 83648
Elmore County (208) 828-7313
MR. JEFFRIE NEIL MAYBERRY IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
90 HOPE DR BLDG 6000
MOUNTAIN HOME A F B, ID 83648
Elmore County (208) 828-7100
KRISTEN ANNE LEWIS
Military Health Care Provider (Independent Duty Medical Technicians)
90 HOPE DR BLDG 6000
MOUNTAIN HOME A F B, ID 83648
Elmore County (208) 728-7401
PAUL MICHAEL BODES PHARMD
Pharmacist
90 HOPE DR BLDG 6000, PHARMACY
MOUNTAIN HOME AFB, ID 83648
Elmore County (208) 828-7521

Frequently Asked Questions

What is Shannon Brantley's NPI number?

The NPI number assigned to this healthcare provider is 1609973916, enumerated as an "individual" on September 20, 2006.

Where is the provider located?

The provider is located at 90 HOPE DR BLDG 6000 366 MDSS/SGSAP MOUNTAIN HOME AFB, ID 83648 and the phone number is (208) 828-7480.

What is the provider's specialty?

Pharmacist with taxonomy code 183500000X.