Individual provider Active NPI

Sara Lange, PHARMD

  • Pharmacist
  • Weatherford, TX
National Provider Identifier
1083114052
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
61847 Issued in SD
Practice address
2005 Fort Worth Hwy Ste 100
Weatherford, TX 76086-4780
Phone
(817) 953-6604
Fax
(817) 668-7637
NPI assigned
Feb 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 61847 SD Primary

Addresses

Primary practice location

2005 Fort Worth Hwy Ste 100
Weatherford, TX 76086-4780

Mailing address

101 E Corporate Dr Ste 300
Lewisville, TX 75067-6687
Phone (972) 299-8990

Other names 1

  • Sara Merrikhihaghi Former name

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

LicenseStateTypeSpecialty
61847SDMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1083114052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E CORPORATE DR STE 300",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750676687",
            "telephone_number": "972-299-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 FORT WORTH HWY STE 100",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760864780",
            "telephone_number": "817-953-6604",
            "fax_number": "817-668-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "61847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "MERRIKHIHAGHI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.