Active NPI
Jude Thaddeus Sheets, PHARMD, RPH.
- Pharmacist
- Triadelphia, WV
National Provider Identifier
1467712083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03132561
- Practice address
- 450 Stewart LN
Triadelphia, WV 26059-1020 - Phone
- (304) 547-1950
- Fax
- (304) 547-1983
- NPI assigned
- May 17, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03132561 | OH | Primary |
| Pharmacist | 183500000X | RPI007312 | PA | |
| Pharmacist | 183500000X | RP0008059 | WV | |
| Pharmacist | 183500000X | PST.020108 | LA | |
| Pharmacist | 183500000X | MA.2121 | LA | |
| Pharmacist | 183500000X | RP447601 | PA |
Addresses
Primary practice location
450 Stewart LN
Triadelphia, WV 26059-1020
Mailing address
450 Stewart LN
Triadelphia, WV 26059-1020
Phone (304) 547-1950
Other practice location 1
50739 Valley Plaza Dr
Saint Clairsville, OH 43950-1751
Phone (740) 695-8413
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP447601 | Other | PA | PA BOARD OF PHARMACY |
| MA.2121 | Other | LA | LA BOARD OF PHARMACY |
| PST.020108 | Other | LA | LA BOARD OF PHARMACY |
| 03132561 | Other | OH | OH BOARD OF PHARMACY |
| RP0008059 | Other | WV | WV BOARD OF PHARMACY |
| RPI007312 | Other | PA | PA BOARD OF PHARMACY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA.2121 | LA | MD | Pharmacist |
| PST.020108 | LA | MD | Pharmacist |
| 03132561 | OH | MD | Pharmacist |
| RP447601 | PA | MD | Pharmacist |
| RPI007312 | PA | MD | Pharmacist |
| RP0008059 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1467712083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 STEWART LN",
"city": "TRIADELPHIA",
"state": "WV",
"postal_code": "260591020",
"telephone_number": "304-547-1950",
"fax_number": "304-547-1983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 STEWART LN",
"city": "TRIADELPHIA",
"state": "WV",
"postal_code": "260591020",
"telephone_number": "304-547-1950",
"fax_number": "304-547-1983"
}
],
"practiceLocations": [
{
"address_1": "50739 Valley Plaza Dr",
"address_purpose": "LOCATION",
"city": "Saint Clairsville",
"state": "OH",
"postal_code": "439501751",
"country_code": "US",
"telephone_number": "740-695-8413",
"fax_number": "740-695-8415",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEETS",
"first_name": "JUDE",
"middle_name": "THADDEUS",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-17",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03132561",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RPI007312",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0008059",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.020108",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "MA.2121",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP447601",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BOARD OF PHARMACY",
"identifier": "RP447601",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA BOARD OF PHARMACY",
"identifier": "MA.2121",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA BOARD OF PHARMACY",
"identifier": "PST.020108",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH BOARD OF PHARMACY",
"identifier": "03132561",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV BOARD OF PHARMACY",
"identifier": "RP0008059",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BOARD OF PHARMACY",
"identifier": "RPI007312",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Triadelphia, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.