Tadd Evan Sharp-Bowman

Primary specialty

Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X

Practice address

1883 Lawrence LN # 8
Porcupine, SD 57772-3064

Phone

(605) 407-0138

NPI assigned

Nov 26, 2024

Last updated

Nov 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1679399398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1883 LAWRENCE LN # 8",
            "city": "PORCUPINE",
            "state": "SD",
            "postal_code": "577723064",
            "telephone_number": "605-407-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1883 LAWRENCE LN # 8",
            "city": "PORCUPINE",
            "state": "SD",
            "postal_code": "577723064",
            "telephone_number": "605-407-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP-BOWMAN",
        "first_name": "TADD",
        "middle_name": "EVAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Porcupine, SD
• Providers in Porcupine, SD by specialty
• Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.

Verify at the official NPI Registry.