Individual provider Active NPI

Sarah Duckwall, PHARM.D.

  • Pharmacist
  • Martinsburg, WV
National Provider Identifier
1508265422
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP0008697 Issued in WV
Practice address
436 Retail Commons Pkwy
Martinsburg, WV 25403-6183
Phone
(304) 264-5201
NPI assigned
Aug 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP0008697 WV Primary

Addresses

Primary practice location

436 Retail Commons Pkwy
Martinsburg, WV 25403-6183

Mailing address

436 Retail Commons Pkwy
Martinsburg, WV 25403-6183
Phone (304) 264-5201

Other identifiers 1

IdentifierTypeStateIssuer
RP0008697OtherWVWEST VIRGINIA BOARD OF PHARMACY

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
RP0008697WVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1508265422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 RETAIL COMMONS PKWY",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254036183",
            "telephone_number": "304-264-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 RETAIL COMMONS PKWY",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254036183",
            "telephone_number": "304-264-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCKWALL",
        "first_name": "SARAH",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0008697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WEST VIRGINIA BOARD OF PHARMACY",
            "identifier": "RP0008697",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.