Basic Information
| Provider Information | |||||||||
| NPI: | 1184055832 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SHERARD | ||||||||
| FirstName: | NIKITA | ||||||||
| MiddleName: | DANIELLE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PHARMD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2610 HOSPITAL ROAD | ||||||||
| Address2: | |||||||||
| City: | GOLDSBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 27534 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9197314809 | ||||||||
| FaxNumber: | 9197367103 | ||||||||
| Practice Location | |||||||||
| Address1: | 2610 HOSPITAL RD | ||||||||
| Address2: | |||||||||
| City: | GOLDSBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275349423 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9197314809 | ||||||||
| FaxNumber: | 9197367103 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/06/2013 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1835P0018X | 0070-00464 | NC | N | Pharmacy Service Providers | Pharmacist | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P1200X | 22464 | NC | Y | Pharmacy Service Providers | Pharmacist | Pharmacotherapy |
No ID Information.