Active NPI
Shalene Williams, PHARMD
- Pharmacist
- Sonora, CA
National Provider Identifier
1417667148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 87253
- Practice address
- 1101 Sanguinetti Rd
Sonora, CA 95370-6214 - Phone
- (209) 533-2617
- NPI assigned
- Dec 5, 2022
- Last updated
- Dec 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 87253 | CA | Primary |
Addresses
Primary practice location
1101 Sanguinetti Rd
Sonora, CA 95370-6214
Mailing address
22554 Colorado River Dr
Sonora, CA 95370-8334
Phone (209) 770-0910
Other names 1
- Shalene Fender
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87253 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1417667148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22554 COLORADO RIVER DR",
"city": "SONORA",
"state": "CA",
"postal_code": "953708334",
"telephone_number": "209-770-0910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 SANGUINETTI RD",
"city": "SONORA",
"state": "CA",
"postal_code": "953706214",
"telephone_number": "209-533-2617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SHALENE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-05",
"last_updated": "2022-12-05",
"certification_date": "2022-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "87253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHALENE",
"last_name": "FENDER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sonora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.