Sandra T Bollinger, PHARMD, CGP, CDE

Primary specialty

PharmacistTaxonomy code 183500000X

License

041666 Issued in MO

Practice address

808 E Wakefield Ave
Sikeston, MO 63801-5147

Phone

(573) 471-1930

Fax

(573) 471-4591

NPI assigned

Sep 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Interoperability endpoints

• Direct secure messaging: sandra@healthpriorities.updoxdirect.com

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1679569065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 E WAKEFIELD AVE",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015147",
            "telephone_number": "573-471-1930",
            "fax_number": "573-471-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 E WAKEFIELD AVE",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015147",
            "telephone_number": "573-471-1930",
            "fax_number": "573-471-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLINGER",
        "first_name": "SANDRA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PHARMD, CGP, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "041666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "358346401",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Ashley Bissonnette, RN, FNP-BC
• Kevin J. Blanton, M.D.
• Leisa Y Blissett, LCSW
• Kathryn Ann Bohannon, MA,CCC-SLP
• Andrew B. Boldrey, MD
• Shelby Paige Bollinger, PMHNP-BC
• Valerie Lynne Bollinger, OTR
• Andrea Kaye Bone
• Donna Jean Boone-Springer, MD
• Bootheel Counseling Services

• All providers in Sikeston, MO
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.