Organization Active NPI

Sharshon Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Mackinaw, IL
National Provider Identifier
1235157264
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054018918 Issued in IL
Legal business name
SHARSHON PHARMACY, INC.
Practice address
116 S Main St
Mackinaw, IL 61755-7510
Phone
(309) 359-5960
Fax
(309) 359-6930
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Authorized official

Name
Mr. Walter Sharshon
Title
President
Phone
(630) 210-5307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 054018918 IL Primary

Addresses

Primary practice location

116 S Main St
Mackinaw, IL 61755-7510

Mailing address

1238 W Ogden Ave
Naperville, IL 60563-2930
Phone (630) 210-5307

Other names 1

  • Easy Care Pharmacy #2 Doing business as

National Provider Directory

National Provider Directory

Locations

149 Main St E
Menomonie, WI 54751
Phone (715) 235-2121

1232 Broadway St N
Menomonie, WI 54751
Phone (715) 235-4235

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1235157264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 W OGDEN AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632930",
            "telephone_number": "630-210-5307",
            "fax_number": "630-984-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S MAIN ST",
            "city": "MACKINAW",
            "state": "IL",
            "postal_code": "617557510",
            "telephone_number": "309-359-5960",
            "fax_number": "309-359-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARSHON PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2015-04-30",
        "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_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054018918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easy Care Pharmacy #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mackinaw, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.