IndividualActive
Shannon Berry
NPI 1679174643 · Pharmacist · Belton, MO
Provider details
- NPI number
- 1679174643
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2015025621 (MO)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1307 E North Ave
Belton, MO 64012-5109
Phone: (816) 318-0404
Fax: (816) 318-0446
Street-level locationGet directions
Mailing address
104 Frederick Ln
Raymore, MO 64083-9738
Additional practice locations (1)
- 1712 E Ohio StClinton, MO 64735-2402Phone: (660) 890-2587Fax: (660) 885-4738
Registry dates
- Enumerated
- 2020-11-05
- Last updated
- 2022-04-01
- Certified
- 2022-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.