Individual provider Active NPI

Sharin Rudder, PHARM.D.

  • Pharmacist
  • Columbia, MO
National Provider Identifier
1558779397
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2010038520 Issued in MO
Practice address
205 E Nifong Blvd
Deptartment 6
Columbia, MO 65203-3760
Phone
(573) 422-2951
Fax
(573) 442-6541
NPI assigned
Jul 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2010038520 MO Primary

Addresses

Primary practice location

205 E Nifong Blvd
Deptartment 6
Columbia, MO 65203-3760

Mailing address

405 E Nifong Blvd
Columbia, MO 65201-3708
Phone (573) 442-8616

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

State licenses

LicenseStateTypeSpecialty
2010038520MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1558779397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E NIFONG BLVD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652013708",
            "telephone_number": "573-442-8616",
            "fax_number": "573-442-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E NIFONG BLVD",
            "address_2": "DEPTARTMENT 6",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033760",
            "telephone_number": "573-422-2951",
            "fax_number": "573-442-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDDER",
        "first_name": "SHARIN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2010038520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.