HEATHER SHANNON
NPI 1801485073
Pharmacist in Boise, ID

Active since January 13, 2021
1515 W STATE ST, BOISE, ID 83702(208) 345-7684 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Heather Shannon NPPES

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

HEATHER SHANNON (NPI 1801485073) is an individual pharmacist in Boise, Idaho, licensed in Idaho (P9131) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1801485073
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameHEATHER SHANNON
Location Address1515 W STATE STBoise, ID 83702-4039
Mailing Address11612 W Alfred CtBoise, ID 83713-1893 · (208) 850-9116
Sole ProprietorNo
Enumeration DateJanuary 13, 2021
NPPES CertifiedJanuary 13, 2021
NPI 1801485073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in ID · P9131
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.

1515 W STATE ST, Boise, ID 83702

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner (Family)
1515 W STATE ST
BOISE, ID 83702
Pharmacist
1515 W STATE ST
BOISE, ID 83702
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1515 W STATE ST
BOISE, ID 83702
Nurse Practitioner (Family)
1515 W STATE ST
BOISE, ID 83702
Pharmacist
1515 W STATE ST
BOISE, ID 83702
Pharmacist
1515 W STATE ST
BOISE, ID 83702
Pharmacist
1515 W STATE ST
BOISE, ID 83702
Pharmacist
1515 W STATE ST
BOISE, ID 83702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801485073, enumerated as an "individual" on January 13, 2021.

The provider is located at 1515 W STATE ST BOISE, ID 83702 and the phone number is (208) 345-7684.

Pharmacist with taxonomy code 183500000X.