Katharine Anne Sherburne, PHARM D
Individual provider Active NPI Pharmacist · Byron, IL
NPI 1366650384 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1366650384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- Practice address
- 713 Belair Dr
Byron, IL 61010-8917 - Phone
- (815) 234-4194
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051-286362 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | IL | Yes |
Addresses
Primary practice location
713 Belair Dr
Byron, IL 61010-8917
Mailing address
713 Belair Dr
Byron, IL 61010-8917
Phone (815) 234-4194
Other providers in Byron, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.