Active NPI
Sarah S Masters
- Pharmacist
- Bloomington, IL
National Provider Identifier
1104108943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051-040197
- Practice address
- 1408 N Main St
Bloomington, IL 61701-1762 - Phone
- (309) 827-3069
- Fax
- (309) 827-5881
- NPI assigned
- Sep 19, 2011
- Last updated
- Sep 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051-040197 | IL | Primary |
Addresses
Primary practice location
1408 N Main St
Bloomington, IL 61701-1762
Mailing address
1408 N Main St
Bloomington, IL 61701-1762
Phone (309) 827-3069
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051-040197 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316390400000",
"number": "1104108943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1408 N MAIN ST",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617011762",
"telephone_number": "309-827-3069",
"fax_number": "309-827-5881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 N MAIN ST",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617011762",
"telephone_number": "309-827-3069",
"fax_number": "309-827-5881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTERS",
"first_name": "SARAH",
"middle_name": "S",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-19",
"last_updated": "2011-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-040197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.