Healthcare Provider Details

I. General information

NPI: 1093139933
Provider Name (Legal Business Name): SHARON SHARMA PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2014
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3939 J ST STE 104
SACRAMENTO CA
95819-3631
US

IV. Provider business mailing address

3939 J ST STE 104
SACRAMENTO CA
95819-3631
US

V. Phone/Fax

Practice location:
  • Phone: 916-453-4768
  • Fax: 913-733-6977
Mailing address:
  • Phone: 916-453-4768
  • Fax: 916-733-6977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number9103689
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number62964
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: