Active NPI
Sarah Anne Shoberg, PHARM.D
- Pharmacist
- Albuquerque, NM
National Provider Identifier
1013215573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00071269
- Practice address
- 101 Sun Ave NE
Albuquerque, NM 87109-4373 - Phone
- (425) 670-9987
- Fax
- (425) 744-7233
- NPI assigned
- Mar 8, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00071269 | WA | Primary |
| Pharmacist | 183500000X | RPH-0010854 | OR |
Addresses
Primary practice location
101 Sun Ave NE
Albuquerque, NM 87109-4373
Mailing address
19401 40TH Ave W
Suite 330
Lynnwood, WA 98036-4612
Phone (425) 670-9987
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0010854 | OR | MD | Pharmacist |
| PH00071269 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299542400000",
"number": "1013215573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19401 40TH AVE W",
"address_2": "SUITE 330",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364612",
"telephone_number": "425-670-9987",
"fax_number": "425-744-7233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SUN AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094373",
"telephone_number": "425-670-9987",
"fax_number": "425-744-7233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOBERG",
"first_name": "SARAH",
"middle_name": "ANNE",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-08",
"last_updated": "2011-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00071269",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0010854",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.