Active NPI
Sherrill Jean Phillips, RPH
- Pharmacist
- Woodward, IA
National Provider Identifier
1053438119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P15849
- Practice address
- 1251 334TH Street
Woodward, IA 50276 - Phone
- (515) 438-3280
- NPI assigned
- Mar 23, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P15849 | IA | Primary |
Addresses
Primary practice location
1251 334TH Street
Woodward, IA 50276
Mailing address
29399 140TH Street
Woodward, IA 50276
Phone (515) 438-2835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P15849 | Other | IA | PHARMACIST LICENSE |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P15849 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053438119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29399 140TH STREET",
"city": "WOODWARD",
"state": "IA",
"postal_code": "50276",
"telephone_number": "515-438-2835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 334TH STREET",
"city": "WOODWARD",
"state": "IA",
"postal_code": "50276",
"telephone_number": "515-438-3280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "SHERRILL",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "P15849",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "P15849",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodward, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.