Active NPI
Lisa Marie Sobba, R.PH.
- Pharmacist
- Kansas City, MO
National Provider Identifier
1558658583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 044948
- Practice address
- 8509 State Line Rd
Kansas City, MO 64114-2723 - Phone
- (816) 444-0019
- NPI assigned
- Jun 28, 2011
- 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 | 044948 | MO | Primary |
Addresses
Primary practice location
8509 State Line Rd
Kansas City, MO 64114-2723
Mailing address
3405 NE 48TH Ter
Kansas City, MO 64119-3519
Phone (816) 260-3125
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044948 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309219200000",
"number": "1558658583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3405 NE 48TH TER",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641193519",
"telephone_number": "816-260-3125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8509 STATE LINE RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641142723",
"telephone_number": "816-444-0019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBBA",
"first_name": "LISA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-28",
"last_updated": "2011-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "044948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.