Individual provider Active NPI

Sarrysa Anne Queen, PHARM.D.

  • Pharmacist
  • Sherman, TX
National Provider Identifier
1073220679
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
71463 Issued in TX
Practice address
4160 Town Ctr
Sherman, TX 75092-2567
Phone
(903) 892-4416
NPI assigned
Nov 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 71463 TX Primary

Addresses

Primary practice location

4160 Town Ctr
Sherman, TX 75092-2567

Mailing address

582 Lucky 13 Rd
Pottsboro, TX 75076-6383
Phone (903) 821-3296

Other practice location 1

1830 Texoma Pkwy
Sherman, TX 75090-2616
Phone (903) 893-5511

Other names 1

  • Sarrysa Anne Eaves Former name

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
71463TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CVS Pharmacy Inc PastSince Nov 1, 2022 Accepting new patients
CVS Pharmacy Inc PastSince Nov 1, 2022 Accepting new patients

Organizations & group practices 2

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": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1073220679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 LUCKY 13 RD",
            "city": "POTTSBORO",
            "state": "TX",
            "postal_code": "750766383",
            "telephone_number": "903-821-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 TOWN CTR",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750922567",
            "telephone_number": "903-892-4416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1830 Texoma Pkwy",
            "address_purpose": "LOCATION",
            "city": "Sherman",
            "state": "TX",
            "postal_code": "750902616",
            "country_code": "US",
            "telephone_number": "903-893-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUEEN",
        "first_name": "SARRYSA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "71463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARRYSA",
            "last_name": "EAVES",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.