Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Patrick Dewayne Shannon

Individual provider Pharmacist · NPI 1396028171

Mr. Patrick Dewayne Shannon is a Pharmacist in Fort Wayne, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2011
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Practice location Address checks out

110 E Creighton Ave
Fort Wayne, IN 46803-3344
Phone: (260) 456-1841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 26018335A (IN)

Record details

NPI number1396028171
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 27, 2011
Last updated in NPPESSeptember 27, 2011
Mailing address6219 Wilmarbee Dr, Fort Wayne, IN 46804-1543

Other providers in Fort Wayne