Individual provider Active NPI

Sara Popko, PHARMD

  • Pharmacist
  • Cerritos, CA
National Provider Identifier
1457089690
Registry record updated Aug 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
85877 Issued in CA
Practice address
17777 Center Court Dr N
Cerritos, CA 90703-9320
Phone
(877) 577-4844
NPI assigned
Aug 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 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 85877 CA Primary

Addresses

Primary practice location

17777 Center Court Dr N
Cerritos, CA 90703-9320

Mailing address

2215 Harriman LN Apt B
Redondo Beach, CA 90278-4367
Phone (347) 562-8051

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

State licenses

LicenseStateTypeSpecialty
85877CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1660435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660435200000",
    "number": "1457089690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 HARRIMAN LN APT B",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784367",
            "telephone_number": "347-562-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17777 CENTER COURT DR N",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039320",
            "telephone_number": "877-577-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPKO",
        "first_name": "SARA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-14",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "85877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.