NPIMap

Individual provider Active NPI

Sally Duann Vanderslice, R.PH., BCNP, FAPHA

  • Nuclear Pharmacist
  • Morgantown, WV
National Provider Identifier
1437342946
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear PharmacistTaxonomy code 1835N0905X
License
RP0007024 Issued in WV
Practice address
3601 Morgantown Industrial Park
Morgantown, WV 26501-2346
Phone
(304) 215-3512
Fax
(304) 292-8642
NPI assigned
Aug 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS 30248 FL
Nuclear Pharmacist 1835N0905X RP0007024 WV Primary
Nuclear Pharmacist 1835N0905X 03-1-20943 OH
Nuclear Pharmacist 1835N0905X 12921 MD
Nuclear Pharmacist 1835N0905X 26017733 IN
Nuclear Pharmacist 1835N0905X 0202011669 VA
Nuclear Pharmacist 1835N0905X 2001014313 MO
Nuclear Pharmacist 1835N0905X RP046130R PA

Addresses

Primary practice location

3601 Morgantown Industrial Park
Morgantown, WV 26501-2346

Mailing address

3601 Morgantown Industrial Park
Morgantown, WV 26501-2346
Phone (304) 215-3512

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
12921MDMDDentist
PS 30248FLMDPharmacist
26017733INMDNuclear Pharmacist
2001014313MOMDNuclear Pharmacist
RP046130RPAMDNuclear Pharmacist
0202011669VAMDNuclear Pharmacist
RP0007024WVMDNuclear Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1437342946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 MORGANTOWN INDUSTRIAL PARK",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265012346",
            "telephone_number": "304-215-3512",
            "fax_number": "304-292-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 MORGANTOWN INDUSTRIAL PARK",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265012346",
            "telephone_number": "304-215-3512",
            "fax_number": "304-292-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERSLICE",
        "first_name": "SALLY",
        "middle_name": "DUANN",
        "name_prefix": "Ms.",
        "credential": "R.PH., BCNP, FAPHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS 30248",
            "primary": false
        },
        {
            "code": "1835N0905X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nuclear",
            "state": "WV",
            "license": "RP0007024",
            "primary": true
        },
        {
            "code": "1835N0905X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nuclear",
            "state": "OH",
            "license": "03-1-20943",
            "primary": false
        },
        {
            "code": "1835N0905X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nuclear",
            "state": "MD",
            "license": "12921",
            "primary": false
        },
        {
            "code": "1835N0905X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nuclear",
            "state": "IN",
            "license": "26017733",
            "primary": false
        },
        {
            "code": "1835N0905X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nuclear",
            "state": "VA",
            "license": "0202011669",
            "primary": false
        },
        {
            "code": "1835N0905X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nuclear",
            "state": "MO",
            "license": "2001014313",
            "primary": false
        },
        {
            "code": "1835N0905X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nuclear",
            "state": "PA",
            "license": "RP046130R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.