Active NPI
Shari Denise Degraw, RN, RPH
- Pharmacist
- Elmira, NY
National Provider Identifier
1942465927
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Nov 20, 2013.
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 041194
- Practice address
- 424 S Main St
Elmira, NY 14904-1314 - Phone
- (607) 426-8829
- NPI assigned
- Jul 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 041194 | NY | Primary |
Addresses
Primary practice location
424 S Main St
Elmira, NY 14904-1314
Mailing address
267 Breesport Rd
Horseheads, NY 14845-9323
Phone (607) 426-8829
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Registered Nurse, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041194 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237334400000",
"number": "1942465927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 BREESPORT RD",
"city": "HORSEHEADS",
"state": "NY",
"postal_code": "148459323",
"telephone_number": "607-426-8829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 S MAIN ST",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149041314",
"telephone_number": "607-426-8829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGRAW",
"first_name": "SHARI",
"middle_name": "DENISE",
"name_prefix": "Ms.",
"credential": "RN, RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-18",
"last_updated": "2009-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "041194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.