Kristina B Sacks

Primary specialty

PharmacistTaxonomy code 183500000X

License

S016418 Issued in AZ

Practice address

15444 N Frank Lloyd Wright Blvd
Target Pharmacy 936
Scottsdale, AZ 85260-2845

Phone

(480) 860-0219

Fax

(480) 860-0219

NPI assigned

Jun 21, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Winston Salem, NC
  • NPI 1699797258
  NPD (past)

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1104112960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15444 N. FRANK LLOYD WRIGHT BLVD.",
            "address_2": "TARGET PHARMACY 936",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "480-860-0219",
            "fax_number": "480-860-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15444 N FRANK LLOYD WRIGHT BLVD",
            "address_2": "TARGET PHARMACY 936",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602845",
            "telephone_number": "480-860-0219",
            "fax_number": "480-860-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKS",
        "first_name": "KRISTINA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S016418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Sabic, FNP-C
• Sonia Marie Sabrowsky, MS, CGC
• Kimberly A Sacco, RN, CRNA
• Sacks Professional Pharmacy Inc
• Carly N Sacks, BA, RBT
• Sacred Hearts Psychiatry & Addiction Medicine
• Venous Sadeghi, PHARMD
• Barry Sadegi, M.D.
• Kimberly Hall Sadegi, L.P.C.
• Ashish Sadhu, M.D.

• Pharmacist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.

Verify at the official NPI Registry.