Traci Strickland Shell, CPHT

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Practice address

303 N Arendell Ave
Zebulon, NC 27597-2605

Phone

(919) 269-7481

Fax

(919) 269-9998

NPI assigned

Nov 27, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advance Community Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Raleigh, NC
  • NPI 1245223783
  NPD (past)
• Wendell Drug Co. Inc.

  • Community/Retail Pharmacy
  • Wendell, NC
  • NPI 1437154481
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1548806359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N ARENDELL AVE",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275972605",
            "telephone_number": "919-269-7481",
            "fax_number": "919-269-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N ARENDELL AVE",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275972605",
            "telephone_number": "919-269-7481",
            "fax_number": "919-269-9998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3430 Wendell Blvd",
            "address_purpose": "LOCATION",
            "city": "Wendell",
            "state": "NC",
            "postal_code": "275916925",
            "country_code": "US",
            "telephone_number": "919-365-8800",
            "fax_number": "919-365-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23 Nc 98 Hwy E Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bunn",
            "state": "NC",
            "postal_code": "275087291",
            "country_code": "US",
            "telephone_number": "919-497-1700",
            "fax_number": "919-497-1777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELL",
        "first_name": "TRACI",
        "middle_name": "STRICKLAND",
        "name_prefix": "Mrs.",
        "credential": "CPHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "12142",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTCB",
            "identifier": "450101080950252",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alonzo Akeem Satawhite, MSW, LCSWA
• Servant Pharmacy of Raleigh LLC
• Jamie B. Sessoms, LCSW
• Amy Renee Sexton, D.D.S.
• Treva Sharpe
• Shepherd'S Care Medical Clinic
• Suzanne Causey Sims, LCMHC
• Katherine Skinner
• Jason Smith
• Keosha Smith, CMSRN, CPPS, CDP

• Compounding Pharmacy in Zebulon, NC
• Providers in Zebulon, NC by specialty
• Compounding Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.