Active NPI
Robert Eric Sapp Sr., R.PH.
- Pharmacist
- Fort Leonard Wood, MO
National Provider Identifier
1780022673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 041519
- Practice address
- 126 Missouri Ave
Fort Leonard Wood, MO 65473-8952 - Phone
- (573) 596-0514
- NPI assigned
- Jun 12, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 041519 | MO | Primary |
| Pharmacist | 183500000X | 051-035981 | IL |
Addresses
Primary practice location
126 Missouri Ave
Fort Leonard Wood, MO 65473-8952
Mailing address
505 Lemans Way
Fairview Heights, IL 62208-3648
Phone (618) 233-8296
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051-035981 | IL | MD | Pharmacist |
| 041519 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370995200000",
"number": "1780022673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 LEMANS WAY",
"city": "FAIRVIEW HEIGHTS",
"state": "IL",
"postal_code": "622083648",
"telephone_number": "618-233-8296",
"fax_number": "888-391-5687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 MISSOURI AVE",
"city": "FORT LEONARD WOOD",
"state": "MO",
"postal_code": "654738952",
"telephone_number": "573-596-0514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAPP",
"first_name": "ROBERT",
"middle_name": "ERIC",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-12",
"last_updated": "2013-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "041519",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-035981",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Leonard Wood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.