Active NPI
Shannon T Bamberg, PHARMD
- Pharmacist
- Hoover, AL
National Provider Identifier
1427396803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14652
- Practice address
- 1584 Montgomery Hwy
Hoover, AL 35216-4524 - Phone
- (205) 824-7223
- Fax
- (205) 824-7228
- NPI assigned
- Jan 20, 2013
- Last updated
- Jan 20, 2013
- 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 | 14652 | AL | Primary |
Addresses
Primary practice location
1584 Montgomery Hwy
Hoover, AL 35216-4524
Mailing address
1584 Montgomery Hwy
Hoover, AL 35216-4524
Phone (205) 824-7223
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 |
|---|---|---|---|
| 14652 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Alabama LLC | Past | Accepting new patients | |
| Publix Alabama, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358640000000",
"number": "1427396803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1584 MONTGOMERY HWY",
"city": "HOOVER",
"state": "AL",
"postal_code": "352164524",
"telephone_number": "205-824-7223",
"fax_number": "205-824-7228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1584 MONTGOMERY HWY",
"city": "HOOVER",
"state": "AL",
"postal_code": "352164524",
"telephone_number": "205-824-7223",
"fax_number": "205-824-7228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAMBERG",
"first_name": "SHANNON",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-20",
"last_updated": "2013-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "14652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoover, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.