Individual provider Active NPI

Shannon Mary Neiley, RPH

  • Pharmacist
  • Raleigh, NC
National Provider Identifier
1821953027
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14543 Issued in NC
Practice address
5000 Falls of Neuse Rd Ste 300
Raleigh, NC 27609-5480
Phone
(984) 200-1549
Fax
(984) 200-2542
NPI assigned
Dec 19, 2025
Last updated
Dec 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 14543 NC Primary

Addresses

Primary practice location

5000 Falls of Neuse Rd Ste 300
Raleigh, NC 27609-5480

Mailing address

5000 Falls of Neuse Rd Ste 300
Raleigh, NC 27609-5480
Phone (984) 200-1549

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

State licenses

LicenseStateTypeSpecialty
14543NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1766102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1821953027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 FALLS OF NEUSE RD STE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095480",
            "telephone_number": "984-200-1549",
            "fax_number": "984-200-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 FALLS OF NEUSE RD STE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095480",
            "telephone_number": "984-200-1549",
            "fax_number": "984-200-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEILEY",
        "first_name": "SHANNON",
        "middle_name": "MARY",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-19",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "14543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.