Active NPI
Sarah Kitchen
- Pharmacist
- Green Bay, WI
National Provider Identifier
1497379911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19117
- Practice address
- 1561 W Mason St
Green Bay, WI 54303-2215 - Phone
- (920) 497-5959
- NPI assigned
- Jun 1, 2020
- 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 | 19117 | WI | Primary |
Addresses
Primary practice location
1561 W Mason St
Green Bay, WI 54303-2215
Mailing address
316 S Joseph St
Kimberly, WI 54136-1331
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19117 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wisconsin CVS Pharmacy LLC | Past | Accepting new patients | |
| Wisconsin CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Green Bay, WI
- NPI 1447291315
-
- Pharmacy
- Glendale, WI
- NPI 1649947573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590969600000",
"number": "1497379911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 S JOSEPH ST",
"city": "KIMBERLY",
"state": "WI",
"postal_code": "541361331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1561 W MASON ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543032215",
"telephone_number": "920-497-5959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITCHEN",
"first_name": "SARAH",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-01",
"last_updated": "2020-06-01",
"certification_date": "2020-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "19117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.