SHARSHON PHARMACY INC (NPI# 1578598108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578598108 |
Entity Type | Organization |
Organization Name | SHARSHON PHARMACY INC |
Practice Address |
402 Pine St Delavan IL 61734-7575 |
Mailing Address |
931 W Galena Blvd Aurora IL 60506-3751 |
Practice Telephone | 3092447115 |
Practice Fax Number | 3092447151 |
Mailing Telephone | 6302105307 |
Mailing Fax Number | 6308925445 |
Enumeration Date | 2006-07-12 |
Last Update Date | 2018-03-05 |
Authorized Official Name | WALTER SHARSHON (OWNER) |
Authorized Official Telephone | 6302105307 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | 054019940 | IL | Suppliers |
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2159483 | 01 |
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 |
1144336439 | Sharshon Pharmacy Inc | Pharmacy | 120 N Chestnut St, Wenona, IL 61377-7527 | 2006-08-21 |
Street Address |
402 PINE ST |
City | DELAVAN |
State | IL |
Zip Code | 61734-7575 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326495623 | Zzz | Pharmacy | 402 Pine St, Delavan, IL 61734-7575 | 2016-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245415199 | Phillip Pawson | General Practice | 402 Pine St., Delavan, IL 61734 | 2008-01-09 |
1396879896 | Delavan Ambulance Service Inc | Ambulance | 510 S Pine Street, Delavan, IL 61734-0747 | 2007-03-15 |
1063901106 | Jessica Danielle Maquet | Student in an Organized Health Care Education/Training Program | 205 Heritage Ct, Delavan, IL 61734-9207 | 2018-05-03 |
1427250984 | Delavan Cusd 703 | Local Education Agency (LEA) | 907 Locust St, Delavan, IL 61734-9231 | 2007-06-05 |
1982867479 | Sandra Lynn Carrington | Speech-Language Pathologist | 220 N Pine St, Delavan, IL 61734-9287 | 2008-07-06 |
1114581998 | Rachel Anne Yontz | Speech-Language Pathologist | 2 Kemp St, Delavan, IL 61734-9305 | 2019-04-26 |
1144763244 | Rachel Maple | Nurse's Aide | 608 E 8th St, Delavan, IL 61734-9312 | 2016-11-22 |
1417475419 | David Knapik | Speech-Language Pathologist | 501 E 2nd St, Delavan, IL 61734-9617 | 2017-08-30 |
1013064195 | Joseph Flint | Pediatrics | 101 E 5th St, Delavan, IL 61734-9619 | 2007-01-04 |
1053675181 | Delavan Pediatrics, LLC | Clinic/Center | 101 E 5th St, Delavan, IL 61734-9619 | 2012-07-03 |
Find all providers in zip 61734 |
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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Find all providers with the same taxonomy |
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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.