Active NPI
Sara Gordon
- Pharmacist
- Cleveland, OH
National Provider Identifier
1821482837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19315
- Practice address
- 10701 East Blvd
Cleveland, OH 44106 - Phone
- (216) 791-3800
- Fax
- (216) 421-3217
- NPI assigned
- Mar 27, 2015
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | S10751 | AL | |
| Pharmacist | 183500000X | 19315 | AL | Primary |
Addresses
Primary practice location
10701 East Blvd
Cleveland, OH 44106
Mailing address
1217 W 70TH St
Cleveland, OH 44102-2017
Phone (513) 292-1555
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 |
|---|---|---|---|
| 19315 | AL | MD | Pharmacist |
| S10751 | AL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1821482837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1217 W 70TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441022017",
"telephone_number": "513-292-1555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10701 EAST BLVD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44106",
"telephone_number": "216-791-3800",
"fax_number": "216-421-3217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "SARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-27",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AL",
"license": "S10751",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "AL",
"license": "19315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.