Individual provider Active NPI

Sara Florence Holvoet, PHARM D

  • Pharmacist
  • Keokuk, IA
National Provider Identifier
1104480805
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18982 Issued in IA
Practice address
300 N Park Dr
Keokuk, IA 52632-2200
Phone
(319) 524-4071
Fax
(319) 524-4073
NPI assigned
Apr 28, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18982 IA Primary

Addresses

Primary practice location

300 N Park Dr
Keokuk, IA 52632-2200

Mailing address

3064 Highway 16
Wever, IA 52658-9534

Other names 1

  • Sara Florence Blint 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
18982IAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1556409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1104480805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3064 HIGHWAY 16",
            "city": "WEVER",
            "state": "IA",
            "postal_code": "526589534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N PARK DR",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526322200",
            "telephone_number": "319-524-4071",
            "fax_number": "319-524-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLVOET",
        "first_name": "SARA",
        "middle_name": "FLORENCE",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-28",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "18982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "BLINT",
            "middle_name": "FLORENCE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Keokuk, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.