Active NPI
Sarah Colleen Fennell
- Pharmacist
- Storm Lake, IA
National Provider Identifier
1326669052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22148
- Practice address
- 800 Lake Ave
Storm Lake, IA 50588-2055 - Phone
- (712) 732-0005
- Fax
- (712) 732-8402
- NPI assigned
- May 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 | 122598 | MN | |
| Pharmacist | 183500000X | 22148 | IA | Primary |
Addresses
Primary practice location
800 Lake Ave
Storm Lake, IA 50588-2055
Mailing address
800 Lake Ave
Storm Lake, IA 50588-2055
Phone (712) 732-0005
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
| License | State | Type | Specialty |
|---|---|---|---|
| 122598 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
800 Lake Ave
Storm Lake, IA 50588
Phone (712) 732-0005
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": "1588636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588636800000",
"number": "1326669052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 LAKE AVE",
"city": "STORM LAKE",
"state": "IA",
"postal_code": "505882055",
"telephone_number": "712-732-0005",
"fax_number": "712-732-8402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 LAKE AVE",
"city": "STORM LAKE",
"state": "IA",
"postal_code": "505882055",
"telephone_number": "712-732-0005",
"fax_number": "712-732-8402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENNELL",
"first_name": "SARAH",
"middle_name": "COLLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-05",
"last_updated": "2020-05-05",
"certification_date": "2020-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "122598",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "22148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Storm Lake, IA
- Essilor Laboratories of America, Inc (Twin City Optical)
- James Paul Faine, D.C.
- Family First Dental Associates of Primghar, P.C. (Family 1st Dental of Storm Lake)
- Garrett James Feddersen, D.O.
- Christine M Feltman, PHYSICAL THERAPIST
- Jill T Fetrow, OCCUPATIONAL
- FHC of Storm Lake Iowa Inc (Faith Hope & Charity)
- Pamela J Fieber, CNP
- Monica L Firme, CRNA
- Tiffany Flammang, C.O.T.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.