Provider Demographics
NPI:1447045661
Name:ASHLEY, SHERONE SHANTELLE (RPH)
Entity type:Individual
Prefix:
First Name:SHERONE
Middle Name:SHANTELLE
Last Name:ASHLEY
Suffix:
Gender:
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 HIGH ROCK ST APT 1
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01902-3815
Mailing Address - Country:US
Mailing Address - Phone:978-844-9244
Mailing Address - Fax:
Practice Address - Street 1:413 PARADISE RD
Practice Address - Street 2:
Practice Address - City:SWAMPSCOTT
Practice Address - State:MA
Practice Address - Zip Code:01907-1332
Practice Address - Country:US
Practice Address - Phone:781-595-8588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1001011183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist