Organization Active NPI

Sherwood Clinical

  • Home Infusion Therapy Pharmacy
  • Cartersville, GA
National Provider Identifier
1295918415
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
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 CLINICALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.