Active NPI
Sanford Health Network
- Institutional Pharmacy
- Sheldon, IA
National Provider Identifier
1801977335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Institutional Pharmacy
- License
- 905
- Legal business name
- SANFORD HEALTH NETWORK
- Practice address
- 118 N 7TH Ave
Sheldon, IA 51201-1235 - Phone
- (712) 324-5041
- Fax
- (712) 324-6025
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles R Miller
- Title
- Administrator
- Phone
- (712) 324-5041
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Institutional Pharmacy | 3336I0012X | 905 | IA | Primary |
Addresses
Primary practice location
118 N 7TH Ave
Sheldon, IA 51201-1235
Mailing address
118 N. 7TH Ave
P.O. Box 250
Sheldon, IA 51201-0250
Phone (712) 324-5041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1618783 | Other | NABP NUMBER |
Other names 1
- Sanford Sheldon Medical Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other |
National Provider Directory
National Provider Directory- Tax ID family
- Sioux Valley Vermillion
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701043200000",
"number": "1801977335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 N. 7TH AVE",
"address_2": "P.O. BOX 250",
"city": "SHELDON",
"state": "IA",
"postal_code": "512010250",
"telephone_number": "712-324-5041",
"fax_number": "712-324-6025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 N 7TH AVE",
"city": "SHELDON",
"state": "IA",
"postal_code": "512011235",
"telephone_number": "712-324-5041",
"fax_number": "712-324-6025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANFORD HEALTH NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2023-11-27",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "712-324-5041"
},
"taxonomies": [
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": "IA",
"license": "905",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP NUMBER",
"identifier": "1618783",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Sanford Sheldon Medical Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Sanford Sheldon Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sheldon, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.