Michael Carter Sheets, RPH
Individual provider Active NPI Pharmacist · Jeffersontown, KY
NPI 1083755136 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1083755136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 007709 (KY)
- Practice address
- 10216 Taylorsville Rd
Jeffersontown, KY 40299-3616 - Phone
- (502) 267-7453
- Fax
- (502) 267-7455
- NPI assigned
- Feb 10, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007709 | KY | MD | Pharmacist |
| 21401 | TX | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 007709 | KY | Yes |
| Pharmacist | 183500000X | 21401 | TX |
Addresses
Primary practice location
10216 Taylorsville Rd
Jeffersontown, KY 40299-3616
Mailing address
2075 Clark Station Rd
Fisherville, KY 40023-8720
Phone (502) 254-9638
Other providers in Jeffersontown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.