Sherry Saji George
Individual provider Active NPI Pharmacist · Ripon, CA
NPI 1669070488 · NPPES record last updated Oct 14, 2020
Key facts
- NPI
- 1669070488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 83165 (CA)
- Practice address
- 1201 W Main St Ste 14
Ripon, CA 95366-3027 - Phone
- (209) 599-4686
- NPI assigned
- Oct 14, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83165 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Store California LLC | Past |
Accepting new patients | |
| Longs Drug Stores California LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 83165 | CA | Yes |
Addresses
Primary practice location
1201 W Main St Ste 14
Ripon, CA 95366-3027
Mailing address
2468 Sugar Creek LN
Manteca, CA 95336-8338
Phone (209) 481-0895
Other providers in Ripon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.