Active NPI
Sherwood Clinical
- Home Infusion Therapy Pharmacy
- Cartersville, GA
National Provider Identifier
1295918415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- License
- PHRE008565
- Legal business name
- SHERWOOD CLINICAL
- Practice address
- 16 Peachtree St
Cartersville, GA 30120-3981 - Phone
- (678) 721-9211
- NPI assigned
- Dec 11, 2007
- Organization subpart
- Yes
- Parent organization
- SHERWOOD CLINICAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Karen J Coulter, RN, CRNI
- Title
- Chief Operating Officer
- Phone
- (706) 776-9127
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | PHRE008565 | GA | |
| Home Infusion Therapy Pharmacy | 3336H0001X | PHRE008565 | Primary |
Addresses
Primary practice location
16 Peachtree St
Cartersville, GA 30120-3981
Mailing address
16 Peachtree St
Cartersville, GA 30120-3981
Phone (678) 721-9211
National Provider Directory
National Provider Directory- Part of
- Sherwood Clinical LLC
Locations
16 Peachtree St
Cartersville, GA 30120
Phone (678) 721-9211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197331200000",
"number": "1295918415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 PEACHTREE ST",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301203981",
"telephone_number": "678-721-9211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 PEACHTREE ST",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301203981",
"telephone_number": "678-721-9211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERWOOD CLINICAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SHERWOOD CLINICAL",
"enumeration_date": "2007-12-11",
"last_updated": "2007-12-11",
"status": "A",
"authorized_official_last_name": "COULTER",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "706-776-9127",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN, CRNI"
},
"taxonomies": [
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "GA",
"license": "PHRE008565",
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": "PHRE008565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.