OrganizationActive
Sheridan Pharmacy, Inc
NPI 1023181849 · Community/Retail Pharmacy · Sheridan, OR
Provider details
- NPI number
- 1023181849
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jack Holt, Owner(360) 693-5879
- License
- RP-0000500-CS (OR)
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
103 E Main St
Sheridan, OR 97378-1828
Phone: (503) 843-2422
Fax: (503) 843-5043
Street-level locationGet directions
Mailing address
916 W Evergreen Blvd
Vancouver, WA 98660-3035
Other names (DBA / former)
- Doing business as
- Sheridan Pharmacy 1155
Registry dates
- Enumerated
- 2006-11-17
- Last updated
- 2010-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.