Active NPI
Sandra Leigh Offutt, RPH
- Pharmacist
- Grafton, ND
National Provider Identifier
1013123348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4235
- Practice address
- 701 W 6TH St
Pharmacy Dept - Health Service Center
Grafton, ND 58237-1379 - Phone
- (701) 352-4216
- Fax
- (701) 352-4439
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4235 | ND | Primary |
Addresses
Primary practice location
701 W 6TH St
Pharmacy Dept - Health Service Center
Grafton, ND 58237-1379
Mailing address
15392 County Road 11
PO Box 150
Grafton, ND 58237-8805
Phone (701) 352-2539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4235 | ND | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013123348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15392 COUNTY ROAD 11",
"address_2": "PO BOX 150",
"city": "GRAFTON",
"state": "ND",
"postal_code": "582378805",
"telephone_number": "701-352-2539",
"fax_number": "701-352-2539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W 6TH ST",
"address_2": "PHARMACY DEPT - HEALTH SERVICE CENTER",
"city": "GRAFTON",
"state": "ND",
"postal_code": "582371379",
"telephone_number": "701-352-4216",
"fax_number": "701-352-4439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OFFUTT",
"first_name": "SANDRA",
"middle_name": "LEIGH",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "4235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grafton, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.