Active NPI
Sarah Marie Holbrook
- Pharmacist
- Ashland, KY
National Provider Identifier
1790022549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 014542
- Practice address
- 711 Martin Luther King Jr Blvd
Ashland, KY 41101-2668 - Phone
- (606) 324-7119
- NPI assigned
- Jan 14, 2013
- Last updated
- Jan 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 014542 | KY | Primary |
| Pharmacist | 183500000X | 03129977 | OH |
Addresses
Primary practice location
711 Martin Luther King Jr Blvd
Ashland, KY 41101-2668
Mailing address
4563 Valley View Dr
Ashland, KY 41101-6217
Phone (614) 787-6026
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 |
|---|---|---|---|
| 014542 | KY | MD | Pharmacist |
| 03129977 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Past | Accepting new patients | |
| Kroger Limited Partnership I | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kroger Pharmacy #473
- Community/Retail Pharmacy
- Newport, KY
- NPI 1104791078
-
dba Kroger Pharmacy
- Community/Retail Pharmacy
- Ashland, KY
- NPI 1801820626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358121600000",
"number": "1790022549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4563 VALLEY VIEW DR",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411016217",
"telephone_number": "614-787-6026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 MARTIN LUTHER KING JR BLVD",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411012668",
"telephone_number": "606-324-7119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLBROOK",
"first_name": "SARAH",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-14",
"last_updated": "2013-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "014542",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03129977",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.