OrganizationActive
Sharshon Pharmacy. Inc.
NPI 1003986019 · Community/Retail Pharmacy · Peoria Heights, IL
Provider details
- NPI number
- 1003986019
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Walter Sharshon, Owner(630) 210-5307
- License
- 054016379 (IL)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4600 N. Prospect Rd.
Suite 2
Peoria Heights, IL 61616
Phone: (309) 688-3684
Fax: (309) 688-5947
Street-level locationGet directions
Mailing address
931 W Galena Blvd
Aurora, IL 60506-3751
Other names (DBA / former)
- Doing business as
- Smith Easy Care Pharmacy
Registry dates
- Enumerated
- 2006-11-08
- Last updated
- 2018-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.