Sara Momika, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

S023537 Issued in AZ

Practice address

6710 W Bethany Home Rd
Glendale, AZ 85303-4402

Phone

(480) 274-5925

NPI assigned

May 11, 2021

Last updated

Oct 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1659955037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5127 E MICHELLE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852547623",
            "telephone_number": "480-274-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 W BETHANY HOME RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853034402",
            "telephone_number": "480-274-5925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6640 W HAPPY VALLEY RD",
            "address_purpose": "LOCATION",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85310",
            "country_code": "US",
            "telephone_number": "480-274-5925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOMIKA",
        "first_name": "SARA",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S023537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.