Active NPI
Sarah Boehm, PHARMD
- Pharmacist
- West Des Moines, IA
National Provider Identifier
1245694884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21675
- Practice address
- 375 S Jordan Creek Pkwy
West Des Moines, IA 50266-8139 - Phone
- (515) 216-2796
- NPI assigned
- Apr 10, 2016
- Last updated
- Feb 5, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21675 | IA | Primary |
| Pharmacist | 183500000X | 13935 | NE |
Addresses
Primary practice location
375 S Jordan Creek Pkwy
West Des Moines, IA 50266-8139
Mailing address
151 Corinne Ave
Council Bluffs, IA 51503-1520
Phone (402) 681-6554
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21675 | IA | MD | Pharmacist |
| 13935 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hy-Vee Inc | Past | Accepting new patients | |
| Hy-Vee Inc | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580860800000",
"number": "1245694884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 CORINNE AVE",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515031520",
"telephone_number": "402-681-6554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 S JORDAN CREEK PKWY",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502668139",
"telephone_number": "515-216-2796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOEHM",
"first_name": "SARAH",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-10",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "21675",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "13935",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.