Active NPI
Shallon Dees
- Pharmacist
- Spanish Fort, AL
National Provider Identifier
1851760409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17027
- Practice address
- 10179 Eastern Shore Dr
Spanish Fort, AL 36527-3302 - Phone
- (251) 621-9065
- NPI assigned
- Sep 24, 2015
- 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 | 17027 | AL | Primary |
Addresses
Primary practice location
10179 Eastern Shore Dr
Spanish Fort, AL 36527-3302
Mailing address
10179 Eastern Shore Dr
Spanish Fort, AL 36527-3302
Phone (251) 621-9065
Other names 1
- Shallon Monette Gross
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17027 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443052800000",
"number": "1851760409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10179 EASTERN SHORE DR",
"city": "SPANISH FORT",
"state": "AL",
"postal_code": "365273302",
"telephone_number": "251-621-9065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10179 EASTERN SHORE DR",
"city": "SPANISH FORT",
"state": "AL",
"postal_code": "365273302",
"telephone_number": "251-621-9065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEES",
"first_name": "SHALLON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-24",
"last_updated": "2015-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "17027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHALLON",
"last_name": "GROSS",
"middle_name": "MONETTE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Spanish Fort, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.