Active NPI
Sara Ellen Boss-Isenhour, RPH
- Pharmacist
- Hickory, NC
National Provider Identifier
1194867598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6657
- Practice address
- 1501 Tate Blvd SE
Suite 102
Hickory, NC 28602-1384 - Phone
- (828) 324-4630
- Fax
- (828) 324-4675
- NPI assigned
- Feb 13, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6657 | NC | Primary |
Addresses
Primary practice location
1501 Tate Blvd SE
Suite 102
Hickory, NC 28602-1384
Mailing address
406 6TH St NW
Hickory, NC 28601-3502
Phone (828) 327-2834
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6657 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194867598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 6TH ST NW",
"city": "HICKORY",
"state": "NC",
"postal_code": "286013502",
"telephone_number": "828-327-2834",
"fax_number": "828-327-6003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 TATE BLVD SE",
"address_2": "SUITE 102",
"city": "HICKORY",
"state": "NC",
"postal_code": "286021384",
"telephone_number": "828-324-4630",
"fax_number": "828-324-4675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSS-ISENHOUR",
"first_name": "SARA",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "6657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.