Organization Active NPI

Sharick Medical Supply, Equipment and Healthcare Services, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Bogalusa, LA
National Provider Identifier
1114208329
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
40591732D Issued in LA
Legal business name
SHARICK MEDICAL SUPPLY, EQUIPMENT AND HEALTHCARE SERVICES, INC.
Practice address
419 Columbia St Ste G
Bogalusa, LA 70427-4500
Phone
(985) 732-1827
NPI assigned
Aug 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Authorized official

Name
Mrs. Shawn Chatmon Ratliff
Title
Owner/Ceo
Phone
(985) 732-1827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 40591732D LA Primary

Addresses

Primary practice location

419 Columbia St Ste G
Bogalusa, LA 70427-4500

Mailing address

1121 S Royal St
Bogalusa, LA 70427-5458
Phone (985) 732-1827

National Provider Directory

National Provider Directory

Locations

419 Columbia St
Ste G
Bogalusa, LA 70427
Phone (985) 732-1827

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1114208329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 S ROYAL ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704275458",
            "telephone_number": "985-732-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 COLUMBIA ST STE G",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704274500",
            "telephone_number": "985-732-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARICK MEDICAL SUPPLY, EQUIPMENT AND HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "RATLIFF",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "CHATMON",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "985-732-1827",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "40591732D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogalusa, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.