DR. SHANNON CARRELL FREDERICK (NPI# 1669568234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669568234 |
| Entity Type | Individual |
| Full Name | DR. SHANNON CARRELL FREDERICK |
| Credential | PHARMD |
| Practice Address |
465 Main St Trussville AL 35173-1418 |
| Mailing Address |
6320 Patriots Pass Trussville AL 35173-3721 |
| Practice Telephone | 2056611110 |
| Practice Fax Number | 2056550129 |
| Mailing Telephone | 2056610180 |
| Mailing Fax Number | 2056550129 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 14209 | AL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194987123 | Shannon Nicole Frederick | Physician Assistant | 14 Memorial Dr, Suite A, Doylestown, PA 18901 | 2008-07-01 |
| Street Address |
465 MAIN ST |
| City | TRUSSVILLE |
| State | AL |
| Zip Code | 35173-1418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568483857 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 465 Main St, Trussville, AL 35173-1418 | 2006-07-21 |
| 1437541687 | Matthew Kirksey | Pharmacist | 465 Main St, Trussville, AL 35173-1418 | 2015-02-25 |
| 1811176027 | Kimberly Ragsdale Woods | Pharmacist | 465 Main St, Trussville, AL 35173-1418 | 2007-10-24 |
| 1588744684 | Thelma Ann Wilbur | Pharmacist | 465 Main St, Trussville, AL 35173-1418 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982189262 | Walden Brook Schlundt-capps | Nurse Practitioner | 4913 Dearfoot Parkway, Trussville, AL 35173 | 2018-10-02 |
| 1770064321 | Joyce Yerman Coyle | Pharmacist | 5940 Trussville Crossings Pkwy, Birmingham, AL 35173 | 2018-08-22 |
| 1467931949 | Kelly M Bonnett | Nurse Practitioner | 117 N Chalkville Rd, Trussville, AL 35173 | 2018-08-07 |
| 1770028821 | Angelle Sieg Taylor | Counselor | 3504 Vann Road Suite 100, Trussville, AL 35173 | 2016-12-28 |
| 1467722694 | Laura Sherrill Barksdale | Nurse Anesthetist, Certified Registered | 300 Bradford Cir, Trussville, AL 35173 | 2012-01-04 |
| 1245551878 | Scott C Boyken | Family Medicine | 7201 Happy Hollow Road, Suite 101, Trussville, AL 35173 | 2010-06-17 |
| 1740503234 | Lauren C Sineath | Nutritionist | 5257 Stockton Pass, Trussville, AL 35173 | 2010-03-11 |
| 1386861128 | Michael Lawrence Ryan | Specialist/Technologist | 2053 Enclave Drive, Trussville, AL 35173 | 2007-04-20 |
| 1346372794 | Brett Stanley Bruce | Dentist | 6995 Gadsden Hwy, Trussville, AL 35173 | 2007-03-12 |
| 1528100682 | Michael J Sabatini | Pharmacist | 6404 Whitetail Lane, Birmingham, AL 35173 | 2007-02-13 |
| Find all providers in zip 35173 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053775452 | Linda P. Adams | Pharmacist | 4402 Camp Coleman Rd, Trussville, AL 35173-2803 | 2016-04-12 |
| 1346683133 | Deena Lynn Phillips | Pharmacist | 8155 Cypress Way, Trussville, AL 35173-1699 | 2013-04-10 |
| 1699013920 | Barbra E Summers | Pharmacist | 4236 Waterford Ln, Trussville, AL 35173-1587 | 2013-01-21 |
| 1326320193 | Osatohanmwen Kimberly Okunbor | Pharmacist | 6135 Hidden Brook Dr, Trussville, AL 35173-2374 | 2011-09-16 |
| 1669750543 | Molly Adkins Hatcher | Pharmacist | 3128 Cambridge Cir, Trussville, AL 35173-5173 | 2011-07-27 |
| 1104148584 | Reginald M Teed Jr. | Pharmacist | 5431 Camellia Ln, Trussville, AL 35173-6322 | 2010-02-25 |
| 1386851483 | Jason Flebotte | Pharmacist | 8415 Ledge Cir, Trussville, AL 35173-3809 | 2007-05-17 |
| 1003445743 | Patricia Watts | Pharmacist | 7272 Gadsden Hwy, Trussville, AL 35173-1687 | 2020-04-04 |
| 1679041461 | Maegan Carroll Reynolds | Pharmacist | 115 N Chalkville Rd, Trussville, AL 35173-1376 | 2018-11-09 |
| 1811435704 | Marsha Gail Lawson | Pharmacist | 265 Main St, Trussville, AL 35173 | 2017-02-10 |
| Find all providers in TRUSSVILLE | ||||
| City | TRUSSVILLE |
| Zip Code | 35173 |
Please comment or provide details below to improve the information on DR. SHANNON CARRELL FREDERICK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.