Individual provider Active NPI

Sable K Heese, PHARMD.

  • Pharmacist
  • Chesterfield, MO
National Provider Identifier
1467099853
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2019040910 Issued in MO
Practice address
2511 Kehrs Mill Rd
Chesterfield, MO 63017-7358
Phone
(636) 207-3403
NPI assigned
Dec 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051302737 IL
Pharmacist 183500000X 2019040910 MO Primary

Addresses

Primary practice location

2511 Kehrs Mill Rd
Chesterfield, MO 63017-7358

Mailing address

532 Fairfield Valley Road
PO Box 470
Saint Albans, MO 63073
Phone (573) 263-0682

Other practice location 1

41 Woodhaven Ct
Belleville, IL 62223-4544
Phone (573) 263-0682

Other identifiers 2

IdentifierTypeStateIssuer
051302737OtherILPHARMACIST LICENSE
2019040910OtherMOPHARMACIST LICENSE

Other names 1

  • Dr. Sable K Huebner Former name

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
051302737ILMDPharmacist
2019040910MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1467099853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 FAIRFIELD VALLEY ROAD",
            "address_2": "PO BOX 470",
            "city": "SAINT ALBANS",
            "state": "MO",
            "postal_code": "63073",
            "telephone_number": "573-263-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 KEHRS MILL RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177358",
            "telephone_number": "636-207-3403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Woodhaven Ct",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622234544",
            "country_code": "US",
            "telephone_number": "573-263-0682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEESE",
        "first_name": "SABLE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051302737",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2019040910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "051302737",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "2019040910",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SABLE",
            "last_name": "HUEBNER",
            "middle_name": "K",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.