Individual provider Active NPI

Sarah Pacheco Moline, DOCTOR OF PHARMACY

  • Pharmacist
  • Livermore, CA
National Provider Identifier
1316048507
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
48493 Issued in CA
Practice address
1774 Sterling CT
Livermore, CA 94550-6031
Phone
(925) 455-1716
Fax
(925) 455-1716
NPI assigned
Sep 26, 2006
Last updated
Nov 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 48493 CA Primary

Addresses

Primary practice location

1774 Sterling CT
Livermore, CA 94550-6031

Mailing address

1774 Sterling CT
Livermore, CA 94550-6031
Phone (925) 455-1716

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
48493CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1316048507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1774 STERLING CT",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945506031",
            "telephone_number": "925-455-1716",
            "fax_number": "925-455-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1774 STERLING CT",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945506031",
            "telephone_number": "925-455-1716",
            "fax_number": "925-455-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINE",
        "first_name": "SARAH",
        "middle_name": "PACHECO",
        "name_prefix": "Ms.",
        "credential": "DOCTOR OF PHARMACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "48493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.