Shertech Pharmacy Spartanburg

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

3340 Issued in SC

Legal business name

SHERTECH PHARMACY SPARTANBURG

Practice address

1360 Drayton Rd
Spartanburg, SC 29307-5104

Phone

(864) 585-3850

Fax

(864) 585-3760

NPI assigned

Jun 1, 2012

Last updated

Jun 1, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Russell E Prescott III, BSPHARM

Title

Pharmacy Manager

Phone

(864) 585-3850

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1245591668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 DRAYTON RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293075104",
            "telephone_number": "864-585-3850",
            "fax_number": "864-585-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 DRAYTON RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293075104",
            "telephone_number": "864-585-3850",
            "fax_number": "864-585-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERTECH PHARMACY SPARTANBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "PRESCOTT",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "864-585-3850",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "BSPHARM"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "3340",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "SC",
            "license": "3340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4220644",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jay S Shelley, OD
• Beverly B Shelton, CACII
• Kendall Charisse Shelton
• Latoya Raquel Shelton, FNP-C
• Gordon B Sherard III, MD
• Shanna E Shetley, BA
• Colter Grey Sheveland
• Donald C Shields, M.D., PH.D.
• Erin Marie Shields
• Tara Martin Shingleton, CF-SLP

• Compounding Pharmacy in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Compounding Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.