Active NPI
Albert G Sarkis
- Pharmacist
- New Berlin, WI
National Provider Identifier
1235737842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14809-40
- Practice address
- 15205 W Greenfield Ave
New Berlin, WI 53151-1519 - Phone
- (262) 796-2734
- Fax
- (262) 796-2742
- NPI assigned
- Oct 15, 2020
- Sex
- Male
- 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 | 14809-40 | WI | Primary |
Addresses
Primary practice location
15205 W Greenfield Ave
New Berlin, WI 53151-1519
Mailing address
15205 W Greenfield Ave
New Berlin, WI 53151-1519
Phone (262) 796-2734
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14809-40 | Other | WI | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ags0024.s05438.us@wal-mart.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14809-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602720000000",
"number": "1235737842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15205 W GREENFIELD AVE",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531511519",
"telephone_number": "262-796-2734",
"fax_number": "262-796-2742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15205 W GREENFIELD AVE",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531511519",
"telephone_number": "262-796-2734",
"fax_number": "262-796-2742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARKIS",
"first_name": "ALBERT",
"middle_name": "G",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-15",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "14809-40",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "14809-40",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ags0024.s05438.us@wal-mart.com",
"affiliation": "N",
"endpointDescription": "email work",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "walmart email",
"address_1": "15205 W Greenfield Ave",
"city": "New Berlin",
"state": "WI",
"country_code": "US",
"postal_code": "531511519",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Berlin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.