Active NPI
Shearue Inc
Doing business as Cleveland Pharmacy
- Community/Retail Pharmacy
- Cleveland, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 110763
- Legal business name
- SHEARUE INC
- Doing business as
- Cleveland Pharmacy
- Practice address
- 36345 State Highway 79
Cleveland, AL 35049 - Phone
- (205) 697-8000
- Fax
- (205) 379-8728
- NPI assigned
- Jul 26, 2006
- Last updated
- Jan 6, 2025
- 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
- Ms. Kim C Larue, PHARMD
- Title
- Pharmacist Owner
- Phone
- (205) 274-8000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6835 | AL | |
| Community/Retail Pharmacy | 3336C0003X | 110763 | AL | Primary |
Addresses
Primary practice location
36345 State Highway 79
Cleveland, AL 35049
Mailing address
PO Box 207
Cleveland, AL 35049
Phone (205) 274-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0116295 | Other | NABP | |
| 103632 | Medicaid | AL |
Other names 1
- Cleveland Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210305001508 | AL | Part B Supplier - Pharmacy | 3577761485 | Practice locations: Cleveland, AL |
National Provider Directory
National Provider DirectoryLocations
36321 State Highway 79
Cleveland, AL 35049
Phone (205) 274-8000
36321 State Highway 79
Ste 2
Cleveland, AL 35049
Phone (205) 274-8000
36345 Hwy 79
Cleveland, AL 35049
Phone (205) 697-8000
36345 Hwy 79
Cleveland, AL 35049
Phone (205) 697-8000
36345 State Hwy 79
Cleveland, AL 35049
Phone (205) 697-8000
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Cleveland, AL
- NPI 1992395560
-
- Pharmacist
- Cleveland, AL
- NPI 1457942153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736121600000",
"number": "1295758340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 207",
"city": "CLEVELAND",
"state": "AL",
"postal_code": "35049",
"telephone_number": "205-274-8000",
"fax_number": "205-274-8019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36345 STATE HIGHWAY 79",
"city": "CLEVELAND",
"state": "AL",
"postal_code": "35049",
"telephone_number": "205-697-8000",
"fax_number": "205-379-8728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHEARUE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-26",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A",
"authorized_official_last_name": "LARUE",
"authorized_official_first_name": "KIM",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PHARMACIST OWNER",
"authorized_official_telephone_number": "205-274-8000",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "6835",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AL",
"license": "110763",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "0116295",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103632",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cleveland Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cleveland, AL
- Kim Larue, PHARMD
- Michael R. Manes, M.D.
- Traci S Mason, CRNP
- A G Meighen, O.D.
- Kristina Hicks Shea, PHARMD
- St. Vincent's Blount (St. Vincent's Primary Care Cleveland)
- Meagan Erin Thomas
- Today's Family Dentistry, P.C. (Blount Dental Center)
- Brittany Leigh-Ann Tolbert, CRNP
- Randy Michael Torbert, COTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.