NPIMap

Organization Active NPI

SDS Pharmacy

Doing business as Sheldon Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Yale, MI
National Provider Identifier
1437320439
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5142620002 Issued in MI
Legal business name
SDS PHARMACY
Doing business as
Sheldon Pharmacy
Practice address
25 S Main St
Yale, MI 48097-3317
Phone
(810) 387-4244
Fax
(810) 387-2605
NPI assigned
Mar 18, 2008
Last updated
Aug 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Authorized official

Name
Mr. Scot Douglas Sheldon, RPHNPI 1477683449
Title
President
Phone
(810) 387-4244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5142620002 MI Primary

Addresses

Primary practice location

25 S Main St
Yale, MI 48097-3317

Mailing address

25 S Main St
Yale, MI 48097-3317
Phone (810) 387-4244

Other names 1

  • SHELDON PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
SDS Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1437320439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S MAIN ST",
            "city": "YALE",
            "state": "MI",
            "postal_code": "480973317",
            "telephone_number": "810-387-4244",
            "fax_number": "810-387-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S MAIN ST",
            "city": "YALE",
            "state": "MI",
            "postal_code": "480973317",
            "telephone_number": "810-387-4244",
            "fax_number": "810-387-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "SHELDON",
        "authorized_official_first_name": "SCOT",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-387-4244",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5142620002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHELDON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.