Active NPI
Kristin Nicole Sauvago
- Pharmacist
- Des Moines, IA
National Provider Identifier
1679768170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20617
- Practice address
- 4343 Merle Hay Rd
Des Moines, IA 50310-1411 - Phone
- (515) 276-4845
- NPI assigned
- Sep 9, 2007
- 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 | 20617 | IA | Primary |
Addresses
Primary practice location
4343 Merle Hay Rd
Des Moines, IA 50310-1411
Mailing address
308 Court Ave Apt 410
Des Moines, IA 50309-2445
Phone (515) 419-9689
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20617 | Other | IA | PHARMACIST LICENSE NUMBER |
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 |
|---|---|---|---|
| 20617 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189296000000",
"number": "1679768170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 COURT AVE APT 410",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503092445",
"telephone_number": "515-419-9689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4343 MERLE HAY RD",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503101411",
"telephone_number": "515-276-4845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUVAGO",
"first_name": "KRISTIN",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-09",
"last_updated": "2007-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "20617",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "20617",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.