Sharette Sterne Haynie, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

46676 Issued in CA

Practice address

2355 W Kettleman LN
Target Pharmacy T0853
Lodi, CA 95242-4120

Phone

(209) 339-0232

Fax

(209) 339-0232

NPI assigned

Nov 14, 2011

Sex

Female

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

Credentials

Doctor of Pharmacy

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1740567098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 W KETTLEMAN LN",
            "address_2": "TARGET PHARMACY T0853",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424120",
            "telephone_number": "209-339-0232",
            "fax_number": "209-339-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 W KETTLEMAN LN",
            "address_2": "TARGET PHARMACY T0853",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424120",
            "telephone_number": "209-339-0232",
            "fax_number": "209-339-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNIE",
        "first_name": "SHARETTE",
        "middle_name": "STERNE",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "46676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Lodi, CA
• Providers in Lodi, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.