Active NPI
Sarah M Burroughs
- Pharmacist
- Canonsburg, PA
National Provider Identifier
1114204435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP444760
- Practice address
- 100 Cavasina Dr
Canonsburg, PA 15317-1767 - Phone
- (724) 873-8790
- NPI assigned
- Nov 15, 2011
- Last updated
- May 26, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0007691 | WV | |
| Pharmacist | 183500000X | RP444760 | PA | Primary |
Addresses
Primary practice location
100 Cavasina Dr
Canonsburg, PA 15317-1767
Mailing address
100 Cavasina Dr
Canonsburg, PA 15317-1767
Phone (724) 873-8790
Other practice location 1
5956 Penn Cir S
#9281
Pittsburgh, PA 15206-3823
Phone (412) 362-6328
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | rxm.10786@store.walgreens.com |
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 |
|---|---|---|---|
| RP444760 | PA | MD | Pharmacist |
| RP0007691 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
100 Cavasina Dr
Canonsburg, PA 15317
Phone (724) 873-8790
Organizations & group practices 2
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": "1321315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1114204435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CAVASINA DR",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153171767",
"telephone_number": "724-873-8790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CAVASINA DR",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153171767",
"telephone_number": "724-873-8790"
}
],
"practiceLocations": [
{
"address_1": "5956 Penn Cir S",
"address_2": "#9281",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152063823",
"country_code": "US",
"telephone_number": "412-362-6328",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURROUGHS",
"first_name": "SARAH",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-15",
"last_updated": "2022-05-26",
"certification_date": "2022-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0007691",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP444760",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "rxm.10786@store.walgreens.com",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "100 Cavasina Dr",
"city": "Canonsburg",
"state": "PA",
"country_code": "US",
"postal_code": "153171767",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Canonsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.