NPIMap

Organization Active NPI

Sharshon Pharmacy Inc

Doing business as Wenona Pharmacy

  • Community/Retail Pharmacy
  • Wenona, IL
National Provider Identifier
1144336439
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054006145 Issued in IL
Legal business name
SHARSHON PHARMACY INC
Doing business as
Wenona Pharmacy
Practice address
120 N Chestnut St
Wenona, IL 61377-7527
Phone
(815) 853-4342
Fax
(815) 853-4348
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Authorized official

Name
Walter Sharshon, RPH
Title
President
Phone
(630) 210-5307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 054006145 IL Primary

Addresses

Primary practice location

120 N Chestnut St
Wenona, IL 61377-7527

Mailing address

120 Chestnut St.
Wenona, IL 61377-0602
Phone (815) 853-4342

Other identifiers 2

IdentifierTypeStateIssuer
362889967001MedicaidIL
054020970OtherILPHARMACY

Other names 1

  • Wenona Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sharshon Pharmacy Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544140800000",
    "number": "1144336439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CHESTNUT ST.",
            "city": "WENONA",
            "state": "IL",
            "postal_code": "613770602",
            "telephone_number": "815-853-4342",
            "fax_number": "815-853-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N CHESTNUT ST",
            "city": "WENONA",
            "state": "IL",
            "postal_code": "613777527",
            "telephone_number": "815-853-4342",
            "fax_number": "815-853-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARSHON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2018-12-07",
        "status": "A",
        "authorized_official_last_name": "SHARSHON",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-210-5307",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054006145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362889967001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY",
            "identifier": "054020970",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wenona Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wenona, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; 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.