Sarah Sidler, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

121192 Issued in MN

Practice address

8600 114TH Ave N
Champlin, MN 55316-3869

Phone

(763) 422-8700

NPI assigned

May 13, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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.

• Supervalu Pharmacies Inc

  • Community/Retail Pharmacy
  • Champlin, MN
  • NPI 1710092853
  NPD (past)
• Supervalu Pharmacies Inc.

  • Community/Retail Pharmacy
  • Burnsville, MN
  • NPI 1093517914
  NPD (past)

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1134565658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5643 GREEN CIRCLE DR APT 111",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439652",
            "telephone_number": "260-243-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 114TH AVE N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163869",
            "telephone_number": "763-422-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDLER",
        "first_name": "SARAH",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26021480A",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "121192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingrid Serck-Hanssen, LPCC
• Stacy Shermer, PHARMD, RPH
• Shire Counseling LLC
• Shoptikal LLC
• Janet M Siciliano, NP
• Daniel Simonson, MS, LP
• Joel Skoog, PHARMD
• Michael D Smilanich, DDS
• Menneh Gussey Smith
• Madison O Snyder, LADC

• Pharmacist in Champlin, MN
• Providers in Champlin, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.