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1619242260 NPI number — SARA ELIZABETH SHEDD RPH

NPI Number: 1619242260
Health Care Provider/Practitioner: SARA ELIZABETH SHEDD RPH

Information about “1619242260” NPI (SARA ELIZABETH SHEDD RPH) exists in 1619242260 in HTML format HTML  |  1619242260 in plain Text format TXT  |  1619242260 in PDF (Portable Document Format) PDF  |  1619242260 in an XML format XML  formats.

NPI Number : 1619242260 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619242260",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHEDD",
    "FirstName": "SARA",
    "MiddleName": "ELIZABETH",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "RPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SMOUSE",
    "OtherFirstName": "SARA",
    "OtherMiddleName": "ELIZABETH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "ONE CHOCTAW WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TALIHINA",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "74571",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "918-567-7000",
    "MailingAddressFaxNumber": "918-567-7037",
    "FirstLinePracticeLocationAddress": "ONE CHOCTAW WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TALIHINA",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "74571",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "918-567-7000",
    "PracticeLocationAddressFaxNumber": "918-567-7037",
    "EnumerationDate": "03/15/2012",
    "LastUpdateDate": "03/01/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "3921",
          "LicenseNumberStateCode": "HI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1835P0018X",
          "TaxonomyName": "Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
          "LicenseNumber": "14436",
          "LicenseNumberStateCode": "OK",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "20954",
          "LicenseNumberStateCode": "IA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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