Individual provider Active NPI

Jude Thaddeus Sheets, PHARMD, RPH.

  • Pharmacist
  • Triadelphia, WV
National Provider Identifier
1467712083
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03132561 Issued in OH
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

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
RP447601OtherPAPA BOARD OF PHARMACY
MA.2121OtherLALA BOARD OF PHARMACY
PST.020108OtherLALA BOARD OF PHARMACY
03132561OtherOHOH BOARD OF PHARMACY
RP0008059OtherWVWV BOARD OF PHARMACY
RPI007312OtherPAPA 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

LicenseStateTypeSpecialty
MA.2121LAMDPharmacist
PST.020108LAMDPharmacist
03132561OHMDPharmacist
RP447601PAMDPharmacist
RPI007312PAMDPharmacist
RP0008059WVMDPharmacist

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.

Verify at the official NPI Registry.