Eric Shane Hendrick, PHARMD

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

03230795 Issued in OH

Practice address

320 Jefferson St
Ironton, OH 45638-1859

Phone

(304) 942-3587

NPI assigned

Nov 30, 2020

Sex

Male

Sole proprietor

No

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1710581764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 JEFFERSON ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381859",
            "telephone_number": "304-942-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 JEFFERSON ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381859",
            "telephone_number": "304-942-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICK",
        "first_name": "ERIC",
        "middle_name": "SHANE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "OH",
            "license": "03230795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthstat Onsite Clinic Vertiv Ironton
• Brooke Haley Heffner, CDCA, QMHS
• Jessica Helton
• Bonnie Henderson
• Sabrina Henderson, MS, RD, LD
• Pearl Eleanor Hennan-Hain, D.O.
• Zachery Henry, CDCA
• Barbara Ann Hensley
• Christina Hensley, RN
• Heidi K Hensley, LCDCIII, CT

• Pharmacotherapy Pharmacist in Ironton, OH
• Providers in Ironton, OH by specialty
• Pharmacotherapy Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.