SHARSHON PHARMACY, INC. (NPI# 1609348895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609348895 |
| Entity Type | Organization |
| Organization Name | SHARSHON PHARMACY, INC. |
| Practice Address |
616b Woodlawn Rd Lincoln IL 62656-1590 |
| Mailing Address |
931 W Galena Blvd Aurora IL 60506-3751 |
| Practice Telephone | 2176514770 |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2018-12-28 |
| Authorized Official Name | WALTER SHARSHON (OWNER) |
| Authorized Official Telephone | 6302105307 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PHARMACY LICENSE | 054021047 | 01 |
| Other Name | Type Code |
|---|---|
| LINCOLN PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1407954431 | Sharshon Pharmacy, Inc. | Pharmacy | 201 N State St, Geneseo, IL 61254-1236 | 2006-09-21 |
| 1235157264 | Sharshon Pharmacy, Inc. | Pharmacy | 116 S Main St, Mackinaw, IL 61755-7510 | 2006-07-17 |
| Street Address |
616B WOODLAWN RD |
| City | LINCOLN |
| State | IL |
| Zip Code | 62656-1590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437678943 | Carissa Jo O'donoghue | Speech-Language Pathologist | 1000 Railer Way, Lincoln, IL 62656 | 2017-09-15 |
| 1083972012 | Cynthia Dorchinecz | Speech-Language Pathologist | 200 Fifth Street, Lincoln, IL 62656 | 2012-04-27 |
| 1104100114 | Jan E Fehrenbacher | Pharmacist | 603 Woodlawn, Lincoln, IL 62656 | 2011-10-10 |
| 1053633263 | Tazwood Mental Health Center, Inc. | Community/Behavioral Health | 124-126 S. Chicago Street, Lincoln, IL 62656 | 2010-02-16 |
| 1649428756 | Diane E Ulrich | Dentist | 400 N. Chicago St, Lincoln, IL 62656 | 2008-09-03 |
| 1922202944 | Robert C Miller | Dentist | 217 S Kickapoo St, Lincoln, IL 62656 | 2007-06-13 |
| 1720290638 | Lifetime Dental Care of Illinois, PC | Dentist | 411 Keokuk Street, Lincoln, IL 62656 | 2007-05-04 |
| 1982734539 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 825 Malerich Dr., Lincoln, IL 62656 | 2007-03-06 |
| 1861571663 | David R Hepler II | Chiropractor | 2000 Pulaski Street, Lincoln, IL 62656 | 2006-11-03 |
| 1477561793 | Raymond Todd Nobbe | Optometrist | 1400 Woodlawn Road, Lincoln, IL 62656 | 2006-08-03 |
| Find all providers in zip 62656 | ||||
| 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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| 1225547433 | Costco Wholesale Corportation | Pharmacy | 1620 Pine Lake Road, Lincoln, NE 68512 | 2017-09-20 |
| 1558897751 | Harps Food Stores, Inc | Pharmacy | 310 W Pridemore Drive, Lincoln, AR 72744 | 2017-05-08 |
| 1891085486 | Alcona Citizens for Health, Inc. | Pharmacy | 177 N Barlow, Lincoln, MI 48742 | 2011-04-15 |
| 1548576192 | Nebraska Cvs Pharmacy LLC | Pharmacy | 4808 O St, Lincoln, NE 68510-1908 | 2010-08-20 |
| 1831230036 | Nebraska Medical Center | Pharmacy | 550 N. 19th Street, Lincoln, NE 68588 | 2007-02-09 |
| 1194898197 | Four Star Drug of Bethany Inc | Pharmacy | 1340 N 66th St, Lincoln, NE 68505-1822 | 2006-11-16 |
| 1528131521 | Four Star Drug of Lincoln Nebraska Inc | Pharmacy | 1265 S Cotner Blvd, Lincoln, NE 68510-4923 | 2006-11-16 |
| 1619050242 | Garfield Beach Cvs LLC | Pharmacy | 950 Groveland Ln, Lincoln, CA 95648-7415 | 2006-10-24 |
| Find all providers in LINCOLN | ||||
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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.