Individual provider Active NPI

Sheba Jory Washington, PHARM D

  • Pharmacotherapy Pharmacist
  • Fort Worth, TX
National Provider Identifier
1003191602
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
72336 Issued in TX
Practice address
6700 W Vickery Blvd
Fort Worth, TX 76116-9156
Phone
(817) 576-4844
NPI assigned
Oct 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051291827 IL
Pharmacotherapy Pharmacist 1835P1200X 72336 TX Primary

Addresses

Primary practice location

6700 W Vickery Blvd
Fort Worth, TX 76116-9156

Mailing address

4213 Snow Goose TRL
Arlington, TX 76005-1166
Phone (708) 710-2249

Other practice location 1

1525 N Veterans Pkwy
Bloomington, IL 61704-0904
Phone (309) 661-8613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
72336TXMDProfessional Counselor
051291827ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Hotspots, Inc PastSince Oct 29, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1003191602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4213 SNOW GOOSE TRL",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760051166",
            "telephone_number": "708-710-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 W VICKERY BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761169156",
            "telephone_number": "817-576-4844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 N Veterans Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IL",
            "postal_code": "617040904",
            "country_code": "US",
            "telephone_number": "309-661-8613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "SHEBA",
        "middle_name": "JORY",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-14",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051291827",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "TX",
            "license": "72336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.