Angela White Sandlin, PHARM.D.
Individual provider Active NPI Pharmacist · Lagrange, KY
NPI 1609080738 · NPPES record last updated Dec 30, 2019
Key facts
- NPI
- 1609080738
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 8935 (KY)
- Practice address
- 1025 New Moody LN
Lagrange, KY 40031-9154 - Phone
- (502) 222-3362
- Fax
- (502) 222-8684
- NPI assigned
- May 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8935 | KY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8935 | KY | Yes |
Addresses
Primary practice location
1025 New Moody LN
Lagrange, KY 40031-9154
Mailing address
831 Inspiration Way
Louisville, KY 40245-3990
Phone (502) 333-2722
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08935 | Other | KY | PHARMACIST LICENSE NUMBER |
Other providers in Lagrange, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.