Active NPI
Stacey Rae Sandell
- Pharmacist
- Liberal, KS
National Provider Identifier
1386137206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11752
- Practice address
- 250 E Tucker Rd
Liberal, KS 67901 - Phone
- (620) 626-4240
- NPI assigned
- Jun 14, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11752 | KS | Primary |
Addresses
Primary practice location
250 E Tucker Rd
Liberal, KS 67901
Mailing address
250 E Tucker Rd
Liberal, KS 67901-2188
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 |
|---|---|---|---|
| 11752 | KS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529020800000",
"number": "1386137206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E TUCKER RD",
"city": "LIBERAL",
"state": "KS",
"postal_code": "679012188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 E TUCKER RD",
"city": "LIBERAL",
"state": "KS",
"postal_code": "67901",
"telephone_number": "620-626-4240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDELL",
"first_name": "STACEY",
"middle_name": "RAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-14",
"last_updated": "2018-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "11752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liberal, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.