Active NPI
Sarah Rose Becker
- Pharmacist
- Meridian, ID
National Provider Identifier
1114565603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P6041
- Practice address
- 520 S Eagle Rd
Meridian, ID 83642-6351 - Phone
- (208) 706-1524
- NPI assigned
- Dec 15, 2019
- Last updated
- Dec 15, 2019
- 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 | P6041 | ID | Primary |
Addresses
Primary practice location
520 S Eagle Rd
Meridian, ID 83642-6351
Mailing address
3407 S Law Ave
Boise, ID 83706-5386
Phone (616) 304-6464
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 |
|---|---|---|---|
| P6041 | ID | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576368000000",
"number": "1114565603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3407 S LAW AVE",
"city": "BOISE",
"state": "ID",
"postal_code": "837065386",
"telephone_number": "616-304-6464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S EAGLE RD",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426351",
"telephone_number": "208-706-1524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "SARAH",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-15",
"last_updated": "2019-12-15",
"certification_date": "2019-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P6041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.