SHERIDAN PHARMACY 1155
NPI 1023181849
Pharmacy - Community/Retail Pharmacy in Sheridan, OR

Active since November 17, 2006
103 E MAIN ST, SHERIDAN, OR 97378(503) 843-2422(503) 843-5043 Get Directions Write a Review

NPPES record last updated: October 5, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sheridan Pharmacy 1155 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHERIDAN PHARMACY 1155 (NPI 1023181849) is a healthcare organization registered as a community/retail pharmacy in Sheridan, Oregon and active in the NPI registry since November 2006. The organization lists Jack L Holt, Owner, as its authorized official.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1023181849
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHERIDAN PHARMACY, INC
Location Address103 E MAIN STSheridan, OR 97378-1828
Mailing Address916 W Evergreen BlvdVancouver, WA 98660-3035 · (360) 213-2236 · Fax (360) 213-2238
Fax(503) 843-5043
Organization SubpartNo
Authorized OfficialJack L HoltOwner · (360) 693-5879
Enumeration DateNovember 17, 2006
Last NPPES UpdateOctober 5, 2010
NPI 1023181849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License RP-0000500-CS (OR)
103 E MAIN ST, Sheridan, OR 97378

Other Names 1

Doing Business AsSheridan Pharmacy 1155

Other Identifiers 1

Medicaid500625416OR

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Pharmacist
103 E MAIN ST
SHERIDAN, OR 97378
Pharmacy
103 E MAIN ST
SHERIDAN, OR 97378

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023181849, enumerated as an "organization" on November 17, 2006.

The provider is located at 103 E MAIN ST SHERIDAN, OR 97378 and the phone number is (503) 843-2422.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.