Individual provider Active NPI

Sarala Kumari Sajja, PHARMACIST

  • Pharmacist
  • Denver City, TX
National Provider Identifier
1235763095
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
49688 Issued in TX
Practice address
403 Mustang Dr
Denver City, TX 79323-2749
Phone
(806) 592-2765
Fax
(806) 592-8689
NPI assigned
Mar 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 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 49688 TX Primary

Addresses

Primary practice location

403 Mustang Dr
Denver City, TX 79323-2749

Mailing address

403 Mustang Dr
Denver City, TX 79323-2749
Phone (806) 592-2765

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
49688TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifecare Pharmacy of Denver City Inc PastSince Mar 9, 2020 Accepting new patients
Lifecare Pharmacy of Denver City Inc PastSince Mar 9, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1235763095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 MUSTANG DR",
            "city": "DENVER CITY",
            "state": "TX",
            "postal_code": "793232749",
            "telephone_number": "806-592-2765",
            "fax_number": "806-592-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 MUSTANG DR",
            "city": "DENVER CITY",
            "state": "TX",
            "postal_code": "793232749",
            "telephone_number": "806-592-2765",
            "fax_number": "806-592-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAJJA",
        "first_name": "SARALA",
        "middle_name": "KUMARI",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "49688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.