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Shannon Dierker, RPH

NPI 1760767297ActiveIndividual· Pharmacist· Ellisville, MO

Pharmacist (RPH) in Ellisville, Missouri, licensed in MO, with an NPI issued in October 2011. Part D covered 28 prescriptions written in 2024.

Overview

NPI1760767297
StatusActive
Entity typeIndividual
CredentialRPH
Sole proprietorYes
NPI issuedOct 16, 2011
Last updated in NPPESOct 16, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X044017MO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 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

Part D prescriptions in 2024

Prescriptions (claims)28 · 29 30-day fills
Patients26
Total drug cost$4,694

Medicare sources and data years

Other pharmacists in Ellisville

All 26 pharmacists in Ellisville · All pharmacists in Missouri