Organization Active NPI

Shern Drug Inc

  • Community/Retail Pharmacy
  • Lehi, UT
National Provider Identifier
1780614479
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
6492942-1703 Issued in UT
Legal business name
SHERN DRUG INC
Doing business as
Cecil's Pharmacy
Practice address
300 E Main St
Lehi, UT 84043-2242
Phone
(801) 768-4244
Fax
(801) 768-9269
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Authorized official

Name
Cecil David Shern
Title
Pharmacy Owner
Phone
(801) 768-4244

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 6492942-1703 UT
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 6492942-1703 UT Primary

Addresses

Primary practice location

300 E Main St
Lehi, UT 84043-2242

Mailing address

300 E Main St
Lehi, UT 84043-2242
Phone (801) 768-4244

Other names 1

  • Cecil's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101222000198 UT Part B Supplier - Mass Immunization (Roster Biller Only) 6800083171 Practice locations: Lehi, UT

National Provider Directory

National Provider Directory

Locations

300 E Main St
Lehi, UT 84043
Phone (801) 768-4244

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1780614479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MAIN ST",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432242",
            "telephone_number": "801-768-4244",
            "fax_number": "801-768-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E MAIN ST",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432242",
            "telephone_number": "801-768-4244",
            "fax_number": "801-768-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERN DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "SHERN",
        "authorized_official_first_name": "CECIL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PHARMACY OWNER",
        "authorized_official_telephone_number": "801-768-4244"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "6492942-1703",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "6492942-1703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cecil's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.