Sheridan Family Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

SHERIDAN FAMILY PHARMACY LLC

Practice address

677 Heritage Drive
Sheridan, AR 72150-5000

Phone

(870) 484-4488

Fax

(870) 484-4484

NPI assigned

Jun 1, 2020

Organization subpart

No

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

Authorized official

Name

Donald Louis Hedden, PD

Title

Owner

Phone

(870) 484-4488

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Tax ID family

Sheridan Family Pharmacy LLC2 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.

• Sheridan Family Pharmacy LLC

  • Long Term Care Pharmacy
  • Sheridan, AR
  • NPI 1780407536
  NPD tax ID

Locations

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590969600000",
    "number": "1821612326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721500217",
            "telephone_number": "870-484-4488",
            "fax_number": "870-484-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 HERITAGE DRIVE",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721505000",
            "telephone_number": "870-484-4488",
            "fax_number": "870-484-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A",
        "authorized_official_last_name": "HEDDEN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-484-4488",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Schoggin, LAC
• Sheridan Chiropractic Clinic, P.a.
• Sheridan Dental Center, PA
• Sheridan Family Clinic
• Sheridan Family Pharmacy LLC
• Sheridan Medical Associates
• Sheridan Physical Therapy Clinic
• Sheridan School District
• John B Simpson, M.D.
• Holley Elizabeth Skinner, OD

• Pharmacy in Sheridan, AR
• Providers in Sheridan, AR by specialty
• Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.