Active NPI
Sara J Doruska, PHARM.D.
- Pharmacist
- Des Moines, IA
National Provider Identifier
1710086871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17635
- Practice address
- 3600 30TH St
Pharmacy 119
Des Moines, IA 50310-5753 - Phone
- (515) 699-5999
- Fax
- (515) 699-5882
- NPI assigned
- Sep 22, 2006
- Last updated
- Jul 8, 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 | 17635 | IA | Primary |
Addresses
Primary practice location
3600 30TH St
Pharmacy 119
Des Moines, IA 50310-5753
Mailing address
1706 NE Crestmoor PL
Ankeny, IA 50021-4106
Phone (515) 964-7126
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17635 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710086871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 NE CRESTMOOR PL",
"city": "ANKENY",
"state": "IA",
"postal_code": "500214106",
"telephone_number": "515-964-7126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 30TH ST",
"address_2": "PHARMACY 119",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503105753",
"telephone_number": "515-699-5999",
"fax_number": "515-699-5882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORUSKA",
"first_name": "SARA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "17635",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 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.