Individual provider Active NPI

Sherrie Lynne Macdermod, B.S.

  • Pharmacist
  • Mooresville, NC
National Provider Identifier
1194962084
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10145 Issued in NC
Practice address
947 N Main St
Mooresville, NC 28115-2355
Phone
(704) 664-9600
NPI assigned
Jan 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10145 NC Primary

Addresses

Primary practice location

947 N Main St
Mooresville, NC 28115-2355

Mailing address

143 Plantation Dr
Mooresville, NC 28117-5820
Phone (704) 664-9275

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
10145NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pharm-Save, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231891200000",
    "number": "1194962084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 PLANTATION DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175820",
            "telephone_number": "704-664-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 N MAIN ST",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152355",
            "telephone_number": "704-664-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDERMOD",
        "first_name": "SHERRIE",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "B.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "10145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.