Active NPI
Sarah R Pedersen, PHARMD
- Pharmacist
- Raleigh, NC
National Provider Identifier
1164770665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21607
- Practice address
- 4930 Tall Timber Dr
201
Raleigh, NC 27612-6039 - Phone
- (262) 993-6312
- NPI assigned
- Aug 15, 2012
- 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 | 21607 | NC | Primary |
| Pharmacist | 183500000X | 16069 | WI |
Addresses
Primary practice location
4930 Tall Timber Dr
201
Raleigh, NC 27612-6039
Mailing address
4930 Tall Timber Dr
201
Raleigh, NC 27612-6039
Phone (262) 993-6312
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21607 | NC | MD | Pharmacist |
| 16069 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1164770665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4930 TALL TIMBER DR",
"address_2": "201",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276126039",
"telephone_number": "262-993-6312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4930 TALL TIMBER DR",
"address_2": "201",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276126039",
"telephone_number": "262-993-6312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDERSEN",
"first_name": "SARAH",
"middle_name": "R",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-15",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "21607",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "16069",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.