Individual provider Active NPI

Jennifer Sabelka, PHARMD

  • Pharmacist
  • Tucson, AZ
National Provider Identifier
1467753343
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S0016226 Issued in AZ
Practice address
6363 E 22ND St
Tucson, AZ 85710-5119
Phone
(520) 571-9252
Fax
(520) 748-2004
NPI assigned
Nov 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S0016226 AZ Primary

Addresses

Primary practice location

6363 E 22ND St
Tucson, AZ 85710-5119

Mailing address

6363 E 22ND St
Tucson, AZ 85710-5119
Phone (520) 571-9252

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
S0016226AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1467753343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6363 E 22ND ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857105119",
            "telephone_number": "520-571-9252",
            "fax_number": "520-748-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 E 22ND ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857105119",
            "telephone_number": "520-571-9252",
            "fax_number": "520-748-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABELKA",
        "first_name": "JENNIFER",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-09",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S0016226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.