Organization Active NPI

Sherrills Corporation

  • Long Term Care Pharmacy
  • Broken Bow, OK
National Provider Identifier
1699460964
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
SHERRILLS CORPORATION
Practice address
101 Main St
Broken Bow, OK 74728-3973
Phone
(580) 584-3353
Fax
(580) 584-9459
NPI assigned
Apr 11, 2023
Last updated
Apr 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Authorized official

Name
Amy Korinne Hammonds, DPHNPI 1790256360
Title
Owner/Pharmacist
Phone
(580) 584-3353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

101 Main St
Broken Bow, OK 74728-3973

Mailing address

101 Main St
Broken Bow, OK 74728-3973
Phone (580) 584-3353

National Provider Directory

National Provider Directory
Tax ID family
Sherills Pharmacy and Gifts2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

101 Main St
Broken Bow, OK 74728
Phone (580) 584-3353

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1699460964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MAIN ST",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "747283973",
            "telephone_number": "580-584-3353",
            "fax_number": "580-584-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MAIN ST",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "747283973",
            "telephone_number": "580-584-3353",
            "fax_number": "580-584-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRILLS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "HAMMONDS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "KORINNE",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "580-584-3353",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Bow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.