Philip James Sheridan III, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

03321843 Issued in OH

Practice address

401 N Ewing St
Kroger Pharmacy
Lancaster, OH 43130-3372

Phone

(740) 654-1763

Fax

(740) 654-1699

NPI assigned

Apr 23, 2017

Sex

Male

Sole proprietor

No

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

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1492905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492905600000",
    "number": "1417482928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N EWING ST",
            "address_2": "KROGER PHARMACY",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303372",
            "telephone_number": "740-654-1763",
            "fax_number": "740-654-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N EWING ST",
            "address_2": "KROGER PHARMACY",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303372",
            "telephone_number": "740-654-1763",
            "fax_number": "740-654-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "PHILIP",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-23",
        "last_updated": "2017-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03321843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Jenna Sheets, CNP
• Mahmoud El-Said Shehata, M.D.
• Sara Elizabeth Sheline, LSW
• Sarah Abbey Shepard, CPRS
• Heather Irene Shepherd
• David Paul Sherman, CDCA QMHS MA CMS MA
• Breanne Marie Shick, RN
• Ashley Dawn Shinkle
• Dana Yvonne Shipley, BSW
• David Leo Shonk, R.PH.

• Pharmacist in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2017; 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.