Alex D Sherman, PHARMD
Individual provider Active NPI Pharmacist · West Sand Lake, NY
NPI 1881916617 · NPPES record last updated Dec 30, 2022
Key facts
- NPI
- 1881916617
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 052609-1 (NY)
- Practice address
- 3703 Ny 43
West Sand Lake, NY 12196 - Phone
- (518) 674-3475
- NPI assigned
- Feb 21, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052609-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martins Foods of South Burlington LLC | Past |
Accepting new patients | |
| Golub Corporation | Past | Accepting new patients | |
| Martin'S Foods of South Burlington, LLC | Past |
Accepting new patients | |
| Golub Corporation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 052609-1 | NY | Yes |
Addresses
Primary practice location
3703 Ny 43
West Sand Lake, NY 12196
Mailing address
3703 Route 43
West Sand Lake, NY 12196
Phone (518) 674-3475
Other providers in West Sand Lake, NY
- Sarah Owens
- Jan Pedersen
- Physical Therapy Associates of Schenectady, P.C.
- Rite Aid of New York Inc
- Sand Lake Ambulance, Inc.
- Deborah Jean Simard
- Meghan Sullivan
- The on Call Family Health Nurse Practitioner
- Thomas J. Degenero D.D.S.
- Walgreen Co
All providers in West Sand Lake, NY · Pharmacist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2022. 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.