Organization Active NPI

Shearue Inc

Doing business as Cleveland Pharmacy

  • Community/Retail Pharmacy
  • Cleveland, AL
National Provider Identifier
1295758340
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
110763 Issued in AL
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Ms. Kim C Larue, PHARMDNPI 1992395560
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0116295OtherNABP
103632MedicaidAL

Other names 1

  • Cleveland Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210305001508 AL Part B Supplier - Pharmacy 3577761485 Practice locations: Cleveland, AL

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.