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Shannon Berry

NPI 1679174643ActiveIndividual· Pharmacist· Belton, MO

Pharmacist in Belton, Missouri, licensed in MO, with an NPI issued in November 2020.

Overview

NPI1679174643
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedNov 5, 2020
Last updated in NPPESApr 1, 2022
Certified by providerApr 1, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X2015025621MO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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