Active NPI
Sandra Phillips
- Pharmacist
- Fremont, OH
National Provider Identifier
1649601741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0314750
- Practice address
- 1825 N State Route 19
Fremont, OH 43420-1037 - Phone
- (419) 334-3900
- Fax
- (419) 334-3347
- NPI assigned
- Nov 29, 2013
- 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 | 0314750 | OH | Primary |
Addresses
Primary practice location
1825 N State Route 19
Fremont, OH 43420-1037
Mailing address
1825 N State Route 19
Fremont, OH 43420-1037
Phone (419) 334-3900
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 |
|---|---|---|---|
| 0314750 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385683200000",
"number": "1649601741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 N STATE ROUTE 19",
"city": "FREMONT",
"state": "OH",
"postal_code": "434201037",
"telephone_number": "419-334-3900",
"fax_number": "419-334-3347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 N STATE ROUTE 19",
"city": "FREMONT",
"state": "OH",
"postal_code": "434201037",
"telephone_number": "419-334-3900",
"fax_number": "419-334-3347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "SANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-29",
"last_updated": "2013-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "0314750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, OH
- PC on Board, LLC
- Maya Sharia Peacock, LPN
- Terese Peters, LPTA
- Andrew A Peterson, D.D.S.
- Pharmacy Counter LLC
- Physician'S Choice Hospital - Fremont Physicians
- Physician'S Choice Hospital - Fremont, LLC
- Physicians Choice Hospital - Fremont Physicians
- Megan Pickering, CDCA PRELIMINARY
- Cindy Sue Pinckley Wolph, LSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.