Active NPI
Sarah Roberts
- Pharmacist
- Rochester, IN
National Provider Identifier
1801432273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26025717A
- Practice address
- 2040 Peace Tree VLG
Rochester, IN 46975-2630 - Phone
- (574) 223-6347
- NPI assigned
- Nov 20, 2019
- Last updated
- Nov 20, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26025717A | IN | Primary |
Addresses
Primary practice location
2040 Peace Tree VLG
Rochester, IN 46975-2630
Mailing address
12365 Coral CT
Plymouth, IN 46563-7619
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 |
|---|---|---|---|
| 26025717A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Current | Accepting new patients | |
| Kroger Limited Partnership I | Past | Accepting new patients |
Locations
2040 Peace Tree Vlg
Rochester, IN 46975
Phone (574) 223-6347
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
- Community/Retail Pharmacy
- Rochester, IN
- NPI 1447323969
-
dba Kroger Pharmacy #473
- Community/Retail Pharmacy
- Newport, KY
- NPI 1104791078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1801432273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12365 CORAL CT",
"city": "PLYMOUTH",
"state": "IN",
"postal_code": "465637619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 PEACE TREE VLG",
"city": "ROCHESTER",
"state": "IN",
"postal_code": "469752630",
"telephone_number": "574-223-6347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "SARAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-20",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26025717A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.