Active NPI
Sherri Carpenter Herndon
- Pharmacist
- Owensboro, KY
National Provider Identifier
1164813697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 012655
- Practice address
- 3312 State Route 54
Owensboro, KY 42303-2121 - Phone
- (270) 683-6422
- NPI assigned
- Feb 5, 2015
- 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 | 012655 | KY | Primary |
Addresses
Primary practice location
3312 State Route 54
Owensboro, KY 42303-2121
Mailing address
3312 State Route 54
Owensboro, KY 42303-2121
Phone (270) 683-6422
Other names 1
- Sherri Suzanne Carpenter
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012655 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co. | Past | Accepting new patients | |
| Walgreen Co | Past | 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": "1423094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1164813697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3312 STATE ROUTE 54",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423032121",
"telephone_number": "270-683-6422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3312 STATE ROUTE 54",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423032121",
"telephone_number": "270-683-6422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNDON",
"first_name": "SHERRI",
"middle_name": "CARPENTER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-05",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "012655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHERRI",
"last_name": "CARPENTER",
"middle_name": "SUZANNE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.