Sheryl Ann Chisholm, RP
Individual provider Active NPI Pharmacist · Atlantic, IA
NPI 1962834473 · NPPES record last updated Aug 7, 2013
Key facts
- NPI
- 1962834473
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2008029223 (MO)
- Practice address
- 2907 Whitney St
Atlantic, IA 50022-9772 - Phone
- (712) 243-3071
- NPI assigned
- Aug 7, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 10863 | NE | MD | Mental Health Counselor |
| 17914 | IA | MD | Pharmacist |
| 2008029223 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RPH on the Go | Pharmacist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17914 | IA | |
| Pharmacist | 183500000X | 10863 | NE | |
| Pharmacist | 183500000X | 2008029223 | MO | Yes |
Addresses
Primary practice location
2907 Whitney St
Atlantic, IA 50022-9772
Mailing address
2907 Whitney St
Atlantic, IA 50022-9772
Phone (712) 243-3071
Other names
- Sheryl Chisholm
Other providers in Atlantic, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2013. 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.