Active NPI
Jon Sambs, PHARMD
- Pharmacist
- Stevens Point, WI
National Provider Identifier
1174809883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13980-40
- Practice address
- 910 Fremont St
Delzell Hall
Stevens Point, WI 54481-3105 - Phone
- (715) 346-4294
- NPI assigned
- Oct 26, 2011
- Sex
- Male
- 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 | 13980-40 | WI | Primary |
Addresses
Primary practice location
910 Fremont St
Delzell Hall
Stevens Point, WI 54481-3105
Mailing address
910 Fremont St
Delzell Hall
Stevens Point, WI 54481-3105
Phone (715) 346-4294
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 |
|---|---|---|---|
| 13980-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Wisconsin System Non Payroll | Past | Accepting new patients | |
| University of Wisconsin System Non Payroll | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Student Health Clinic/Center
- Stevens Point, WI
- NPI 1164680542
-
- Student Health Clinic/Center
- Stevens Point, WI
- NPI 1487849055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1174809883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 FREMONT ST",
"address_2": "DELZELL HALL",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544813105",
"telephone_number": "715-346-4294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 FREMONT ST",
"address_2": "DELZELL HALL",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544813105",
"telephone_number": "715-346-4294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMBS",
"first_name": "JON",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-26",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "13980-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stevens Point, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.