Individual provider · Type 1 NPI

Tyler Shannon

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Norman, OK

NPI number 1811580764 Active

Practice location

15951 Little Axe Dr
Norman, OK 73026-9088

Fax (405) 701-7930

Mailing address

3917 Carmona Lakes Dr
Moore, OK 73160-0012

Other practice locations

  • 185 E 33rd St, Edmond, OK 73013-4602 · (405) 348-8328

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary 1835P0018X19177 (OK)
Pharmacist 183500000XI-9469 (OK)

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

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About NPI 1811580764

Tyler Shannon's National Provider Identifier is 1811580764, issued on Feb 11, 2021. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Norman, OK. The record was last updated on Feb 11, 2026.