Active NPI
Sara Hillebold
- Pharmacist
- Sun Lakes, AZ
National Provider Identifier
1124746813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S025948
- Practice address
- 9546 E Riggs Rd
Sun Lakes, AZ 85248-7463 - Phone
- (480) 895-3063
- NPI assigned
- Aug 18, 2022
- Last updated
- Aug 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | S025948 | AZ | Primary |
Addresses
Primary practice location
9546 E Riggs Rd
Sun Lakes, AZ 85248-7463
Mailing address
9546 E Riggs Rd
Sun Lakes, AZ 85248-7463
Phone (480) 895-3063
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 |
|---|---|---|---|
| S025948 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| German Dobson CVS, L.L.C. | Current | Accepting new patients | |
| German Dobson CVS LLC | Past | Accepting new patients |
Locations
9546 E Riggs Rd
Sun Lakes, AZ 85248
Phone (480) 895-3063
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": "1660780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1124746813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9546 E RIGGS RD",
"city": "SUN LAKES",
"state": "AZ",
"postal_code": "852487463",
"telephone_number": "480-895-3063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9546 E RIGGS RD",
"city": "SUN LAKES",
"state": "AZ",
"postal_code": "852487463",
"telephone_number": "480-895-3063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLEBOLD",
"first_name": "SARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-18",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S025948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sun Lakes, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.