Jodi Sheahan

Primary specialty

PharmacistTaxonomy code 183500000X

License

2003016063 Issued in MO

Practice address

1851 Vernaci Dr # 17330
Washington, MO 63090-6174

Phone

(636) 825-7701

NPI assigned

Oct 12, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Missouri CVS Pharmacy LLC

  • Pharmacy
  • Saint Louis, MO
  • NPI 1073361952
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1396097465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 VERNACI DR # 17330",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630906174",
            "telephone_number": "636-825-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 VERNACI DR # 17330",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630906174",
            "telephone_number": "636-825-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEAHAN",
        "first_name": "JODI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-12",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2003016063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Schuver, MD
• Kurtis Schuyler, DMD
• Brian A Seeck, MD
• Gina Marie Seeck, M.D.
• Sheetal Sharma, M.D.
• Elizabeth Shine, LPC
• Howard Newton Short, MD, FACS
• Nestor Michael Shust, MD
• Umer Hafeez Siddiqui, M.D.
• Madison Lane Siebert

• Pharmacist in Washington, MO
• Providers in Washington, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.