Individual provider Active NPI

Sara Elaine Dugan, PHARM.D., BCPP

  • Psychiatric Pharmacist
  • Rootstown, OH
National Provider Identifier
1477500478
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric PharmacistTaxonomy code 1835P1300X
License
03-1-25655 Issued in OH
Practice address
4209 State Route 44
Rootstown, OH 44272-9698
Phone
(330) 325-6119
Fax
(330) 325-5951
NPI assigned
May 27, 2006
Last updated
Aug 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 20 050212 NY
Pharmacist 183500000X 03-1-25655 OH
Psychiatric Pharmacist 1835P1300X 20 050212 NY
Psychiatric Pharmacist 1835P1300X 03-1-25655 OH Primary

Addresses

Primary practice location

4209 State Route 44
Rootstown, OH 44272-9698

Mailing address

4209 State Route 44
PO Box 95
Rootstown, OH 44272-9698
Phone (330) 325-6119

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
20 050212NYMDPsychiatric Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1477500478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 STATE ROUTE 44",
            "address_2": "PO BOX 95",
            "city": "ROOTSTOWN",
            "state": "OH",
            "postal_code": "442729698",
            "telephone_number": "330-325-6119",
            "fax_number": "330-325-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 STATE ROUTE 44",
            "city": "ROOTSTOWN",
            "state": "OH",
            "postal_code": "442729698",
            "telephone_number": "330-325-6119",
            "fax_number": "330-325-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGAN",
        "first_name": "SARA",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., BCPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "20 050212",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-1-25655",
            "primary": false
        },
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "NY",
            "license": "20 050212",
            "primary": false
        },
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "OH",
            "license": "03-1-25655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rootstown, OH

Sources for this page

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