Individual provider Active NPI

Shannon Nichols House, RPH

  • Pharmacist
  • Northport, AL
National Provider Identifier
1689906893
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12934 Issued in AL
Practice address
1110 Mitt Lary Rd
Northport, AL 35475-4978
Phone
(205) 409-9777
Fax
(205) 409-9778
NPI assigned
Feb 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12934 AL Primary

Addresses

Primary practice location

1110 Mitt Lary Rd
Northport, AL 35475-4978

Mailing address

13832 Glenview Dr
Northport, AL 35475-4976
Phone (205) 409-9777

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dutch Pharmacies Inc CurrentSince Dec 14, 2025 Accepting new patients

Locations

1110 Mitt Lary Rd
Northport, AL 35475
Phone (205) 409-9777

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1689906893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13832 GLENVIEW DR",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354754976",
            "telephone_number": "205-409-9777",
            "fax_number": "205-409-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 MITT LARY RD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354754978",
            "telephone_number": "205-409-9777",
            "fax_number": "205-409-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "SHANNON",
        "middle_name": "NICHOLS",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "12934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.