Active NPI
Sarah Kate Shore
- Pharmacist
- Broomfield, CO
National Provider Identifier
1619279395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17801
- Practice address
- 3600 W 144TH Ave
Broomfield, CO 80023-9502 - Phone
- (303) 209-2416
- NPI assigned
- Dec 1, 2010
- Last updated
- Dec 1, 2010
- 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 | 17801 | CO | Primary |
Addresses
Primary practice location
3600 W 144TH Ave
Broomfield, CO 80023-9502
Mailing address
2801 W 126TH Ave
Broomfield, CO 80020-3802
Phone (303) 355-2433
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 |
|---|---|---|---|
| 17801 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291161600000",
"number": "1619279395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 W 126TH AVE",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800203802",
"telephone_number": "303-355-2433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 W 144TH AVE",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800239502",
"telephone_number": "303-209-2416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORE",
"first_name": "SARAH",
"middle_name": "KATE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-01",
"last_updated": "2010-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "17801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.