Active NPI
Sharshon Pharmacy, Inc.
- Community/Retail Pharmacy
- Mackinaw, IL
National Provider Identifier
1235157264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 054018918
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Menomonie, WI
- NPI 1659593424
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.