SHANNON MEDICAL CENTER
NPI 1861182339
Pharmacy - Community/Retail Pharmacy in San Angelo, TX

Q: What is Shannon Medical Center's NPI number?

The NPI number for Shannon Medical Center is 1861182339. It was assigned to this organization in the NPPES registry on May 9, 2023. The provider is doing business as Shannon Specialty Pharmacy.

Q: What is Shannon Medical Center's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since May 09, 2023CLIA 45D0488983 · Waiver

2030 PULLIAM ST STE 16, SAN ANGELO, TX 76905(325) 747-4246(325) 285-1383 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 14, 2025, Apr 9, 2024, Jul 19, 2023 and 1 more (4 updates tracked since 2023).

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About Shannon Medical Center NPPES

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

SHANNON MEDICAL CENTER (NPI 1861182339), doing business as Shannon Specialty Pharmacy, is a healthcare organization registered as a community/retail pharmacy in San Angelo, Texas and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Joseph Wooldridge, Cfo, as its authorized official.

NPPES Registry Identity

NPI1861182339

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSHANNON MEDICAL CENTER

Location Address2030 PULLIAM ST STE 16San Angelo, TX 76905-5170

Mailing Address1620 W Northwest Hwy Ste 100Grapevine, TX 76051-3219 · (817) 572-0009 · Fax (817) 572-0221

Phone(325) 747-4246

Fax(325) 285-1383

Organization SubpartNo

Authorized OfficialJoseph WooldridgeCfo · (325) 747-5303

Enumeration DateMay 9, 2023

Last NPPES UpdateMarch 14, 20254 updates tracked since enumeration

NPPES CertifiedMarch 14, 2025

✔ NPI 1861182339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X

2030 PULLIAM ST STE 16, San Angelo, TX 76905

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Other Names 1

Doing Business AsShannon Specialty Pharmacy

Other Identifiers 1

Other35645TX · Texas State Board Of Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0488983

Shannon Medical Center Dba Shannon Home Health Services · San Angelo, TX

Active · expires Aug 31, 2026

CLIA Number45D0488983

Laboratory TypeHome Health Agency

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorJames Christian Barnett

Laboratory Phone(325) 747-5303

Laboratory LocationShannon Medical Center Dba Shannon Home Health Services3555 Knickerbocker Rd, Ste 21, San Angelo, TX 76904

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Medical Center's NPI number?

The NPI number for Shannon Medical Center is 1861182339. It was assigned to this organization in the NPPES registry on May 9, 2023. The provider is doing business as Shannon Specialty Pharmacy.

Where is Shannon Medical Center located?

Shannon Medical Center is located at 2030 Pulliam St Ste 16, San Angelo, TX 76905. The listed phone number is (325) 747-4246.

What is Shannon Medical Center's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Shannon Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0488983) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shannon Medical Center accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 53 other insurers list Shannon Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Medical Center was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.