Active NPI
Airiel Reanna Denise Sheron
- Pharmacist
- Cape Girardeau, MO
National Provider Identifier
1659132744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2023038902
- Practice address
- 1 S Kingshighway
Cape Girardeau, MO 63703-5742 - Phone
- (573) 339-1700
- Fax
- (573) 339-7314
- NPI assigned
- Jan 17, 2024
- Last updated
- Jan 17, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 2023038902 | MO | Primary |
Addresses
Primary practice location
1 S Kingshighway
Cape Girardeau, MO 63703-5742
Mailing address
1 S Kingshighway
Cape Girardeau, MO 63703-5742
Phone (573) 339-1700
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023038902 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1 S Kingshighway
Cape Girardeau, MO 63703
Phone (573) 339-1700
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1659132744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 S KINGSHIGHWAY",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637035742",
"telephone_number": "573-339-1700",
"fax_number": "573-339-7314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 S KINGSHIGHWAY",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637035742",
"telephone_number": "573-339-1700",
"fax_number": "573-339-7314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERON",
"first_name": "AIRIEL",
"middle_name": "REANNA DENISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-17",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2023038902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.