Active NPI
Sarah Rudder
- Pharmacist
- Madison Heights, VA
National Provider Identifier
1861097578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202212792
- Practice address
- 4861 S Amherst Hwy
Madison Heights, VA 24572-2497 - Phone
- (434) 845-5991
- NPI assigned
- Dec 1, 2020
- Last updated
- Dec 1, 2020
- 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 | 0202212792 | VA | Primary |
Addresses
Primary practice location
4861 S Amherst Hwy
Madison Heights, VA 24572-2497
Mailing address
4861 S Amherst Hwy
Madison Heights, VA 24572-2497
Phone (434) 845-5991
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 |
|---|---|---|---|
| 0202212792 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1861097578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4861 S AMHERST HWY",
"city": "MADISON HEIGHTS",
"state": "VA",
"postal_code": "245722497",
"telephone_number": "434-845-5991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4861 S AMHERST HWY",
"city": "MADISON HEIGHTS",
"state": "VA",
"postal_code": "245722497",
"telephone_number": "434-845-5991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDDER",
"first_name": "SARAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202212792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison Heights, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.