Sheridan Pharmacy, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

SHERIDAN PHARMACY, INC

Doing business as

Sheridan Pharmacy 1155

Practice address

103 E Main St
Sheridan, OR 97378-1828

Phone

(503) 843-2422

Fax

(503) 843-5043

NPI assigned

Jul 23, 2006

Last updated

Dec 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristi VeisNPI 1386986818

Title

VP of Pharmacy

Phone

(503) 507-6073

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Sheridan Pharmacy 1155 Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Tax ID family

Sheridan Pharmacy 11552 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sheridan Pharmacy, Inc

  dba Sheridan Pharmacy 1155

  • Community/Retail Pharmacy
  • Sheridan, OR
  • NPI 1023181849
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristi Lee Veis, RPH

  • Pharmacist
  • Silverton, OR
  • NPI 1386986818
  Authorized official Same address or phone
• Terry J Crowder, RPH

  • Pharmacist
  • Independence, OR
  • NPI 1457959959
  NPD (past)
• Robert J Keehner, RPH

  • Pharmacist
  • Sheridan, OR
  • NPI 1932441482
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1003837980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 W EVERGREEN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603035",
            "telephone_number": "360-213-2236",
            "fax_number": "360-213-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E MAIN ST",
            "city": "SHERIDAN",
            "state": "OR",
            "postal_code": "973781828",
            "telephone_number": "503-843-2422",
            "fax_number": "503-843-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "VEIS",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "VP OF PHARMACY",
        "authorized_official_telephone_number": "503-507-6073"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP-0000500-CS",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500625416",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OR LICENSE",
            "identifier": "RP0000500CS",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "3812030",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheridan Pharmacy 1155",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sheridan Pharmacy 1155",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sapphire at Rivers Edge LLC (Rivers Edge Rehabilitation and Care)
• Elaine V. Schloeder, RDH
• Sheridan Care Center LLC
• Sheridan Family Chiropractic PC
• Sheridan Fire District
• Sheridan Pharmacy, Inc (Sheridan Pharmacy 1155)
• Sheridan School District 48J
• The Tooth Fairy, Inc.
• Melissa Sue M Thomas, F.N.P.
• Thunderstruck Farms Inc. (Sheridan Family Chiropractic Clinic)

• Pharmacy in Sheridan, OR
• Providers in Sheridan, OR by specialty
• Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.