1356362305 NPI number — SHARPCO INC

Table of content: (NPI 1356362305)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356362305 NPI number — SHARPCO INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SHARPCO INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
U SAVE IT PHARMACY FRANKLIN
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356362305
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/29/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 72148
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALBANY
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31708-2148
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
229-435-4571
Provider Business Mailing Address Fax Number:
229-435-4734

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20 FRANKLIN PLAZA DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRANKLIN
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28734-3204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-524-0156
Provider Business Practice Location Address Fax Number:
828-524-3022
Provider Enumeration Date:
07/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ALLIGOOD
Authorized Official First Name:
TRACY
Authorized Official Middle Name:
C
Authorized Official Title or Position:
ACCOUNTING MANAGER
Authorized Official Telephone Number:
229-435-4571

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BC3200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BP3500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: 11334 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2071310 . This is a "PK" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0565234 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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