Individual provider Active NPI

Sarah Ann Kauffman, RPH

  • Pharmacist
  • Grand Rapids, MI
National Provider Identifier
1326568296
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302031876 Issued in MI
Practice address
360 Division Ave S Ste 1a
Grand Rapids, MI 49503-4501
Phone
(616) 685-1147
Fax
(616) 685-1145
NPI assigned
Jun 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302031876 MI Primary

Addresses

Primary practice location

360 Division Ave S Ste 1a
Grand Rapids, MI 49503-4501

Mailing address

360 Division Ave S Ste 1a
Grand Rapids, MI 49503-4501
Phone (616) 685-1147

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
5302031876MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Marys Family Pharmacy PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1326568296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 DIVISION AVE S STE 1A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034501",
            "telephone_number": "616-685-1147",
            "fax_number": "616-685-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 DIVISION AVE S STE 1A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034501",
            "telephone_number": "616-685-1147",
            "fax_number": "616-685-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFFMAN",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302031876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.