Individual provider Active NPI

Sara Mikhaeli, PHARMD

  • Pharmacist
  • Santa Monica, CA
National Provider Identifier
1558994269
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
72242 Issued in CA
Practice address
910 Broadway Ste 105
Santa Monica, CA 90401-2797
Phone
(424) 252-9224
Fax
(424) 252-9268
NPI assigned
Feb 20, 2020
Last updated
Jul 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 72242 CA Primary

Addresses

Primary practice location

910 Broadway Ste 105
Santa Monica, CA 90401-2797

Mailing address

134 S Elm Dr Apt 302
Beverly Hills, CA 90212-3305
Phone (310) 270-8192

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tri Tech RX, Inc. CurrentSince Jul 24, 2022 Accepting new patients
Kaster Consultants PastSince Feb 1, 2020 Accepting new patients

Locations

910 Broadway
Ste 105
Santa Monica, CA 90401
Phone (424) 252-9224

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1558994269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 S ELM DR APT 302",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123305",
            "telephone_number": "310-270-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 BROADWAY STE 105",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012797",
            "telephone_number": "424-252-9224",
            "fax_number": "424-252-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKHAELI",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "72242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.