Active NPI
Howard Victor Sherman, R.PH.
- Pharmacist
- Saint Louis, MO
National Provider Identifier
1629217617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202006236
- Practice address
- 12647 Olive Blvd Ste 600
Saint Louis, MO 63141-6346 - Phone
- (314) 744-4284
- Fax
- (877) 685-9866
- NPI assigned
- Feb 13, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202006236 | VA | Primary |
Addresses
Primary practice location
12647 Olive Blvd Ste 600
Saint Louis, MO 63141-6346
Mailing address
785 Dwyer Rd
Virginia Beach, VA 23454-6925
Phone (757) 721-0598
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202006236 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234483200000",
"number": "1629217617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 DWYER RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234546925",
"telephone_number": "757-721-0598",
"fax_number": "757-426-1712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12647 OLIVE BLVD STE 600",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416346",
"telephone_number": "314-744-4284",
"fax_number": "877-685-9866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERMAN",
"first_name": "HOWARD",
"middle_name": "VICTOR",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-13",
"last_updated": "2009-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202006236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.