NPIMap

Organization Active NPI

Sharshon Pharmacy, Inc.

Doing business as Lincoln Pharmacy

  • Community/Retail Pharmacy
  • Lincoln, IL
National Provider Identifier
1609348895
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SHARSHON PHARMACY, INC.
Doing business as
Lincoln Pharmacy
Practice address
616B Woodlawn Rd
Lincoln, IL 62656-1590
Phone
(217) 651-4770
NPI assigned
Dec 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

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

Authorized official

Name
Walter Sharshon
Title
Owner
Phone
(630) 210-5307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

616B Woodlawn Rd
Lincoln, IL 62656-1590

Mailing address

931 W Galena Blvd
Aurora, IL 60506-3751

Other identifiers 1

IdentifierTypeStateIssuer
054021047OtherILPHARMACY LICENSE

Other names 1

  • LINCOLN PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sharshon Pharmacy Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

616B Woodlawn Rd
Lincoln, IL 62656
Phone (217) 651-4770

NPI Registry JSON

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545955200000",
    "number": "1609348895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 W GALENA BLVD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605063751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616B WOODLAWN RD",
            "city": "LINCOLN",
            "state": "IL",
            "postal_code": "626561590",
            "telephone_number": "217-651-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARSHON PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-28",
        "last_updated": "2018-12-28",
        "status": "A",
        "authorized_official_last_name": "SHARSHON",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-210-5307"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "054021047",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LINCOLN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.