Organization Active NPI

Sabetha Apothecary LLC

Doing business as Sabetha Apothecary

  • Compounding Pharmacy
  • Sabetha, KS
National Provider Identifier
1164845640
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
2-10412 Issued in KS
Legal business name
SABETHA APOTHECARY LLC
Doing business as
Sabetha Apothecary
Practice address
621 Main St
Sabetha, KS 66534-1802
Phone
(785) 300-0123
NPI assigned
Feb 4, 2014
Last updated
Feb 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Lea Williams
Title
Owner
Phone
(785) 300-0123

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Compounding Pharmacy 3336C0004X 2-10412 KS Primary

Addresses

Primary practice location

621 Main St
Sabetha, KS 66534-1802

Mailing address

621 Main St
Sabetha, KS 66534-1802
Phone (785) 300-0123

Other identifiers 1

IdentifierTypeStateIssuer
2144122OtherPK

Other names 1

  • Sabetha Apothecary Doing business as

National Provider Directory

National Provider Directory

Locations

621 Main St
Sabetha, KS 66534
Phone (785) 300-0123

NPI Registry JSON

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1164845640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 MAIN ST",
            "city": "SABETHA",
            "state": "KS",
            "postal_code": "665341802",
            "telephone_number": "785-300-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 MAIN ST",
            "city": "SABETHA",
            "state": "KS",
            "postal_code": "665341802",
            "telephone_number": "785-300-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABETHA APOTHECARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-300-0123"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "KS",
            "license": "2-10412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144122",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sabetha Apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sabetha, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.