Sharon Joseph Aykara
Individual provider Active NPI Pharmacist · Poplar Bluff, MO
NPI 1831783653 · NPPES record last updated Feb 22, 2021
Key facts
- NPI
- 1831783653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2021004086 (MO)
- Practice address
- 3001 Oak Grove Rd
Poplar Bluff, MO 63901-8942 - Phone
- (573) 772-7169
- NPI assigned
- Feb 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021004086 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past |
Accepting new patients | |
| Wal-Mart Stores East, LP | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2021004086 | MO | Yes |
Addresses
Primary practice location
3001 Oak Grove Rd
Poplar Bluff, MO 63901-8942
Mailing address
637 Shining Water Dr
Carol Stream, IL 60188-9141
Phone (630) 487-1949
Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.