Bryan Sabo

Primary specialty

PharmacistTaxonomy code 183500000X

License

42707 Issued in SC

Practice address

4361 SC-24
Anderson, SC 29626

Phone

(864) 224-8433

NPI assigned

Sep 23, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Anderson, SC
  • NPI 1467617258
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1194331280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21105 UPPER ENCLAVE CIR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296091392",
            "telephone_number": "636-544-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4361 SC-24",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "29626",
            "telephone_number": "864-224-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABO",
        "first_name": "BRYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "42707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rxm.11563@store.walgreens.com",
            "affiliation": "N",
            "endpointDescription": "store email",
            "address_1": "4361 SC-24",
            "city": "Anderson",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Marie Runion-Thorne
• Estey Ruppal
• Ellen Elizabeth Russell, LISW-AP
• Kyle Matthew Ryberg, M.D.
• S.F. Worsham MD PA
• Sacred Heart Beats
• Brian Michael Sadowski, MD
• Amir Sadri, CRNA
• Whitney Saia
• Nita Saini, O.D.

• Pharmacist in Anderson, SC
• Providers in Anderson, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.