Active NPI
Sara Marie Lout, PHARM.D.
- Pharmacist
- Pine Ridge, SD
National Provider Identifier
1457657306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5779
- Practice address
- 4500 East Highway 18
Pine Ridge, SD 57770 - Phone
- (605) 867-3093
- NPI assigned
- Feb 9, 2011
- 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 | 5779 | SD | Primary |
Addresses
Primary practice location
4500 East Highway 18
Pine Ridge, SD 57770
Mailing address
1045 N Ames St
Spearfish, SD 57783-1703
Phone (701) 830-0145
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5779 | SD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297209600000",
"number": "1457657306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 N AMES ST",
"city": "SPEARFISH",
"state": "SD",
"postal_code": "577831703",
"telephone_number": "701-830-0145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 EAST HIGHWAY 18",
"city": "PINE RIDGE",
"state": "SD",
"postal_code": "57770",
"telephone_number": "605-867-3093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUT",
"first_name": "SARA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-09",
"last_updated": "2011-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SD",
"license": "5779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pine Ridge, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.