NPI age
3 years
Enumerated 2023-05-09
● Active Type 2 · Organization
Shannon Medical Center
Shannon Medical Center is 1 of 5625 pharmacy organizations in Texas.
Primary specialty
Pharmacy
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wooldridge
Cfo
Last NPPES update
2025-03-14
Source: monthly bulk 2026-05
How this organization compares
Across 5625 active pharmacy providers in Texas.
NPI age
3 years
↓ 12 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 62% of peers with subspecialties
NPI lifetime · 2023 → 2026
2023-05Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
2030 Pulliam St Ste 16
San Angelo, TX 769055170
Mailing address
1620 W Northwest Hwy Ste 100
Grapevine, TX 760513219
Authorized official
Joseph Wooldridge
Cfo
📞 3257475303
Specialties
-
Pharmacy PrimaryA 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...
-
PharmacyA pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 35645 | TEXAS STATE BOARD OF PHARMACY |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Shannon Specialty Pharmacy
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.