Individual provider Active NPI

Sara Gayle McKay, PHARM.D, RPH

  • Pharmacist
  • Fargo, ND
National Provider Identifier
1437404290
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5086 Issued in ND
Practice address
1401 33Rd St S
Fargo, ND 58103-3413
Phone
(701) 235-5511
Fax
(701) 235-1985
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5086 ND Primary
Pharmacist 183500000X 118625 MN

Addresses

Primary practice location

1401 33Rd St S
Fargo, ND 58103-3413

Mailing address

1401 33Rd St S
Fargo, ND 58103-3413
Phone (701) 235-5511

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
Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
118625MNMDPharmacist
5086NDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1437404290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 33RD ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033413",
            "telephone_number": "701-235-5511",
            "fax_number": "701-235-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 33RD ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033413",
            "telephone_number": "701-235-5511",
            "fax_number": "701-235-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "SARA",
        "middle_name": "GAYLE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "5086",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "118625",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.