Individual provider Active NPI

Cessily Shannonhouse

  • Pharmacist
  • Sherrills Ford, NC
National Provider Identifier
1750895843
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
27518 Issued in NC
Practice address
7883 Village Ctr N
Sherrills Ford, NC 28673
Phone
(828) 848-5015
NPI assigned
Nov 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 27518 NC Primary

Addresses

Primary practice location

7883 Village Ctr N
Sherrills Ford, NC 28673

Mailing address

107 Misty Meadows CT
Mooresville, NC 28117-6416
Phone (704) 239-8281

Other practice location 1

8315 Magnolia Estates Dr
Cornelius, NC 28031-7837
Phone (704) 895-7057

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

State licenses

LicenseStateTypeSpecialty
27518NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Publix North Carolina LP Past Accepting new patients
Publix North Carolina, LP 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1750895843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MISTY MEADOWS CT",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176416",
            "telephone_number": "704-239-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7883 VILLAGE CTR N",
            "city": "SHERRILLS FORD",
            "state": "NC",
            "postal_code": "28673",
            "telephone_number": "828-848-5015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8315 Magnolia Estates Dr",
            "address_purpose": "LOCATION",
            "city": "Cornelius",
            "state": "NC",
            "postal_code": "280317837",
            "country_code": "US",
            "telephone_number": "704-895-7057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANNONHOUSE",
        "first_name": "CESSILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-28",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "27518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherrills Ford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.