Individual provider Active NPI

Albert G Sarkis

  • Pharmacist
  • New Berlin, WI
National Provider Identifier
1235737842
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14809-40 Issued in WI
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

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
14809-40OtherWILICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
14809-40WIMDPharmacist

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.

Verify at the official NPI Registry.