Healthcare Provider Details

I. General information

NPI: 1689265696
Provider Name (Legal Business Name): SHARON ANN CHERIAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2021
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 TECHNOLOGY CENTER DR
STOUGHTON MA
02072-4710
US

IV. Provider business mailing address

266 SHERADEN AVE
STATEN ISLAND NY
10314-4310
US

V. Phone/Fax

Practice location:
  • Phone: 781-566-5066
  • Fax:
Mailing address:
  • Phone: 347-827-5392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number071387
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number033.0134406
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: