SHARSHON PHARMACY INC (NPI# 1144336439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144336439 |
| Entity Type | Organization |
| Organization Name | SHARSHON PHARMACY INC |
| Other Organization Name | WENONA PHARMACY |
| Practice Address |
120 N Chestnut St Wenona IL 61377-7527 |
| Mailing Address |
120 Chestnut St. Wenona IL 61377-0602 |
| Practice Telephone | 8158534342 |
| Practice Fax Number | 8158534348 |
| Mailing Telephone | 8158534342 |
| Mailing Fax Number | 8158534348 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2018-12-07 |
| Authorized Official Name | WALTER SHARSHON (PRESIDENT) |
| Authorized Official Telephone | 6302105307 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054006145 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 362889967001 | 05 | |
| IL | PHARMACY | 054020970 | 01 |
| Other Name | Type Code |
|---|---|
| Wenona Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285281071 | Sharshon Pharmacy Inc | Pharmacy | 154 W Morton Ave, Jacksonville, IL 62650 | 2019-08-26 |
| 1548609696 | Sharshon Pharmacy Inc | Pharmacy | 1238 W Ogden Ave, Naperville, IL 60563-2930 | 2013-06-21 |
| 1922132638 | Sharshon Pharmacy Inc | Pharmacy | 931 W Galena Blvd, Aurora, IL 60506-3751 | 2007-03-15 |
| 1578598108 | Sharshon Pharmacy Inc | Pharmacy | 402 Pine St, Delavan, IL 61734-7575 | 2006-07-12 |
| Street Address |
120 N CHESTNUT ST |
| City | WENONA |
| State | IL |
| Zip Code | 61377-7527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255312823 | Tyner Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 120 N Chestnut St, Wenona, IL 61377-7527 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760602254 | Wenona Health Center S C | Pediatrics | 516 S. Chestnut St, Wenona, IL 61377 | 2007-04-26 |
| 1770533648 | Bella Y Baz | Pediatrics | 516 S Chestnut St, Wenona, IL 61377-0250 | 2006-05-11 |
| 1689624470 | Samuel T Baz | Family Medicine | 516 S Chestnut St, Wenona, IL 61377-0250 | 2006-05-11 |
| 1376684738 | Eastern Marshall County Ems | Ambulance | 210 North Chestnut St, Wenona, IL 61377-0708 | 2007-02-09 |
| 1316358187 | Hshs Medical Group Inc | Clinic/Center | 516 S Chestnut St, Wenona, IL 61377-7526 | 2014-05-15 |
| 1699066084 | Jawaria T Suhail | Family Medicine | 516 S Chestnut St, Wenona, IL 61377-7526 | 2011-04-20 |
| 1386671709 | Angela Martinez | Family Medicine | 516 S Chestnut St, Wenona, IL 61377-7526 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760602254 | Wenona Health Center S C | Pediatrics | 516 S. Chestnut St, Wenona, IL 61377 | 2007-04-26 |
| 1376684738 | Eastern Marshall County Ems | Ambulance | 210 North Chestnut St, Wenona, IL 61377-0708 | 2007-02-09 |
| 1770533648 | Bella Y Baz | Pediatrics | 516 S Chestnut St, Wenona, IL 61377-0250 | 2006-05-11 |
| 1316358187 | Hshs Medical Group Inc | Clinic/Center | 516 S Chestnut St, Wenona, IL 61377-7526 | 2014-05-15 |
| 1699066084 | Jawaria T Suhail | Family Medicine | 516 S Chestnut St, Wenona, IL 61377-7526 | 2011-04-20 |
| 1386671709 | Angela Martinez | Family Medicine | 516 S Chestnut St, Wenona, IL 61377-7526 | 2006-06-28 |
| 1689624470 | Samuel T Baz | Family Medicine | 516 S Chestnut St, Wenona, IL 61377-0250 | 2006-05-11 |
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 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.