Active NPI
Dakota Shockley, PHARM.D.
- Pharmacist
- Meridianville, AL
National Provider Identifier
1932579083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18958
- Practice address
- 12290 Highway 231 431 N
Meridianville, AL 35759-1200 - Phone
- (256) 828-1000
- NPI assigned
- Oct 1, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18958 | AL | Primary |
| Pharmacist | 183500000X | 39574 | TN |
Addresses
Primary practice location
12290 Highway 231 431 N
Meridianville, AL 35759-1200
Mailing address
500 Liberty LN
Apartment 602
Fayetteville, TN 37334-3648
Phone (931) 993-1869
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18958 | AL | MD | Pharmacist |
| 39574 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443657600000",
"number": "1932579083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 LIBERTY LN",
"address_2": "APARTMENT 602",
"city": "FAYETTEVILLE",
"state": "TN",
"postal_code": "373343648",
"telephone_number": "931-993-1869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12290 HIGHWAY 231 431 N",
"city": "MERIDIANVILLE",
"state": "AL",
"postal_code": "357591200",
"telephone_number": "256-828-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOCKLEY",
"first_name": "DAKOTA",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-01",
"last_updated": "2015-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "18958",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "39574",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridianville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.