Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shannon Phillips

Individual provider Pharmacist · NPI 1609258250

Dr. Shannon Phillips is a Pharmacist in Fayetteville, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Florida and Georgia.

Licensed in
FL, GA
In the registry since
2015
Specialties on file
3

Practice location Address checks out

840 Glynn St S
Fayetteville, GA 30214-2031
Phone: (678) 817-5420
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 — (770) 400-6392

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH 026968 (GA)
Pharmacist Taxonomy 183500000X · Licence RPH026968 (GA)
Pharmacist Taxonomy 183500000X · Licence PS 49594 (FL)

Record details

NPI number1609258250
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 19, 2015
Last updated in NPPESJanuary 4, 2023
Certification dateJanuary 4, 2023
Mailing address120 Lakemont Dr, Fayetteville, GA 30215-2312

Other providers in Fayetteville