Active NPI
Shannon W Ivey, RPH
- Pharmacist
- Piedmont, AL
National Provider Identifier
1154442523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12399
- Practice address
- 702 Highway 278 East Bypass
Piedmont, AL 36272 - Phone
- (256) 447-7779
- Fax
- (256) 447-6054
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12399 | AL | Primary |
| Pharmacist | 183500000X | 16588 | GA |
Addresses
Primary practice location
702 Highway 278 East Bypass
Piedmont, AL 36272
Mailing address
2265 County Road 12
Piedmont, AL 36272-3539
Phone (256) 447-0155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16588 | GA | MD | Pharmacist |
| 12399 | AL | MD | Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154442523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2265 COUNTY ROAD 12",
"city": "PIEDMONT",
"state": "AL",
"postal_code": "362723539",
"telephone_number": "256-447-0155",
"fax_number": "256-447-6054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 HIGHWAY 278 EAST BYPASS",
"city": "PIEDMONT",
"state": "AL",
"postal_code": "36272",
"telephone_number": "256-447-7779",
"fax_number": "256-447-6054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVEY",
"first_name": "SHANNON",
"middle_name": "W",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "12399",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "16588",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Piedmont, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.