Active NPI
Sonya Lynette Sedahl, PHARMD
- Pharmacist
- South Sioux City, NE
National Provider Identifier
1023361011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12785
- Practice address
- 2501 Cornhusker Plaza
Hy-Vee Pharmacy #1620
South Sioux City, NE 68776-3910 - Phone
- (402) 494-3021
- Fax
- (402) 494-4969
- NPI assigned
- Oct 16, 2012
- Last updated
- Oct 16, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12785 | NE | Primary |
| Pharmacist | 183500000X | 20830 | IA | |
| Pharmacist | 183500000X | 5644 | SD |
Addresses
Primary practice location
2501 Cornhusker Plaza
Hy-Vee Pharmacy #1620
South Sioux City, NE 68776-3910
Mailing address
2501 Cornhusker Plaza
Hy-Vee Pharmacy #1620
South Sioux City, NE 68776-3910
Phone (402) 494-3021
Other names 1
- Sonya Lynette Plueger
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 |
|---|---|---|---|
| 20830 | IA | MD | Pharmacist |
| 12785 | NE | MD | Pharmacist |
| 5644 | SD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hy-Vee Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350345600000",
"number": "1023361011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 CORNHUSKER PLAZA",
"address_2": "HY-VEE PHARMACY #1620",
"city": "SOUTH SIOUX CITY",
"state": "NE",
"postal_code": "687763910",
"telephone_number": "402-494-3021",
"fax_number": "402-494-4969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 CORNHUSKER PLAZA",
"address_2": "HY-VEE PHARMACY #1620",
"city": "SOUTH SIOUX CITY",
"state": "NE",
"postal_code": "687763910",
"telephone_number": "402-494-3021",
"fax_number": "402-494-4969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEDAHL",
"first_name": "SONYA",
"middle_name": "LYNETTE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-16",
"last_updated": "2012-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "12785",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "20830",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SD",
"license": "5644",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SONYA",
"last_name": "PLUEGER",
"middle_name": "LYNETTE",
"code": "5",
"type": "Other Name"
}
]
}Other providers in South Sioux City, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.