SHARSHON PHARMACY, INC. (NPI# 1407954431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407954431 |
| Entity Type | Organization |
| Organization Name | SHARSHON PHARMACY, INC. |
| Other Organization Name | NORTHSIDE REXALL PHARMACY |
| Practice Address |
201 N State St Geneseo IL 61254-1236 |
| Mailing Address |
931 W Galena Blvd Aurora IL 60506-3751 |
| Practice Telephone | 3099442442 |
| Practice Fax Number | 3099444588 |
| Mailing Telephone | 6302105307 |
| Mailing Fax Number | 6309845357 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2017-03-16 |
| Authorized Official Name | WALTER SHARSHON (OWNER) |
| Authorized Official Telephone | 6302105307 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054011088 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 362755366001 | 05 | |
| PK | 2022550 | 01 |
| Other Name | Type Code |
|---|---|
| NORTHSIDE REXALL PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609348895 | Sharshon Pharmacy, Inc. | Pharmacy | 616b Woodlawn Rd, Lincoln, IL 62656-1590 | 2018-12-28 |
| 1346638541 | Sharshon Pharmacy, Inc. | Pharmacy | 116 S Main St, Mackinaw, IL 61755-7510 | 2014-12-23 |
| 1538582382 | Sharshon Pharmacy, Inc. | Pharmacy | 101 W Market St, Mount Carroll, IL 61053 | 2014-01-30 |
| 1235157264 | Sharshon Pharmacy, Inc. | Pharmacy | 116 S Main St, Mackinaw, IL 61755-7510 | 2006-07-17 |
| Street Address |
201 N STATE ST |
| City | GENESEO |
| State | IL |
| Zip Code | 61254-1236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932472925 | Timmy Duane Shannon | Pharmacist | 201 N State St, Geneseo, IL 61254-1236 | 2012-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891259362 | Allison J Blade | Nurse Practitioner | 600 N College Avenue Suite 120, Geneseo, IL 61254 | 2019-01-29 |
| 1477070258 | Aaron Thomas Wachtel, Dds | Dentist | 608 E. Ogden Avenue, Geneseo, IL 61254 | 2017-08-23 |
| 1558895722 | Triston Harry | Social Worker | 2707 17th Street, Rock Island, IL 61254 | 2017-04-14 |
| 1306392980 | Rebecca Woodard | Counselor | 2701 17 Street, Rock Island, IL 61254 | 2016-09-01 |
| 1164701082 | Kara Wiedenhoeft | Physical Therapist | 29 Meadowbrook Drive, Geneseo, IL 61254 | 2011-08-09 |
| 1982256301 | Jalyn April Salas | Occupational Therapy Assistant | 704 S Illinois St, Geneseo, IL 61254 | 2019-07-15 |
| 1306318001 | Ashley Mclaughlin | Social Worker | 2701 17th St, Rock Island, IL 61254 | 2018-12-19 |
| 1144747858 | Logan Hagerman | Counselor | 2701 17th St, Rock Island, IL 61254 | 2017-08-23 |
| 1013454677 | Amber Leanne Cozad | Counselor | 2701 17th St, Rock Island, IL 61254 | 2017-01-20 |
| 1457898173 | Paul Schmidt | Counselor | 2701 17th Street, Rock Island, IL 61254 | 2017-01-20 |
| Find all providers in zip 61254 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538582 | Wilmington Pharmacy LLC | Pharmacy | 600 W Baltimore St, Wilmington, IL 60481-1281 | 2020-11-03 |
| 1952909632 | Cordant Pharmacy Illinois, LLC | Pharmacy | 8623 W Bryn Mawr Ave Ste 504, Chicago, IL 60631-3525 | 2020-10-14 |
| 1386242352 | Letitride, Inc. | Pharmacy | 501 W Oak Street, Fairbury, IL 61739 | 2020-10-13 |
| 1699389890 | J2sb LLC | Pharmacy | 398 W Army Trail Rd Ste 120, Bloomingdale, IL 60108-2398 | 2020-09-04 |
| 1891308045 | Apotheco Pharmacy Lincoln Park LLC | Pharmacy | 2140 N Halsted St, Chicago, IL 60614-4385 | 2020-08-27 |
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1710599485 | Costco Wholesale Corporation | Pharmacy | 16261 S Boulevard Pl, Plainfield, IL 60586-4400 | 2020-08-23 |
| 1982212635 | Grand Pharmacy LLC | Pharmacy | 229 W Grand Ave Ste F, Bensenville, IL 60106-3365 | 2020-07-20 |
| 1871110254 | Illini Clinic Pharmacy Inc | Pharmacy | 103 N Prospect St, Cambridge, IL 61238-1148 | 2020-07-01 |
| 1831716745 | The Project of The Quad Cities | Pharmacy | 1701 River Dr Ste 106, Moline, IL 61265-1384 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SHARSHON PHARMACY, INC..
| 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.