Individual provider Active NPI

Sara Renee Dusky, PHARMD

  • Pharmacist
  • Richland, WA
National Provider Identifier
1851648877
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
70400 Issued in WA
Practice address
690 Gage Blvd
Richland, WA 99352-9512
Phone
(509) 627-5133
Fax
(509) 627-1736
NPI assigned
Aug 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 70400 WA Primary

Addresses

Primary practice location

690 Gage Blvd
Richland, WA 99352-9512

Mailing address

690 Gage Blvd
Richland, WA 99352-9512
Phone (509) 627-5133

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

LicenseStateTypeSpecialty
70400WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Cities Community Health Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1851648877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 GAGE BLVD",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529512",
            "telephone_number": "509-627-5133",
            "fax_number": "509-627-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 GAGE BLVD",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529512",
            "telephone_number": "509-627-5133",
            "fax_number": "509-627-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSKY",
        "first_name": "SARA",
        "middle_name": "RENEE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "70400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.