Active NPI
Sara Marie King
- Pharmacist
- Madison, WI
National Provider Identifier
1861567406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13119-040
- Practice address
- 4122 E Towne Blvd
Madison, WI 53704-3732 - Phone
- (608) 242-6862
- Fax
- (608) 245-6125
- NPI assigned
- Nov 21, 2006
- 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 | 13119-040 | WI | Primary |
Addresses
Primary practice location
4122 E Towne Blvd
Madison, WI 53704-3732
Mailing address
4705 Dustin LN
Madison, WI 53718-4319
Phone (608) 838-6746
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13119-040 | Other | WI | PHARMACIST |
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 |
|---|---|---|---|
| 13119-040 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861567406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4705 DUSTIN LN",
"city": "MADISON",
"state": "WI",
"postal_code": "537184319",
"telephone_number": "608-838-6746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4122 E TOWNE BLVD",
"city": "MADISON",
"state": "WI",
"postal_code": "537043732",
"telephone_number": "608-242-6862",
"fax_number": "608-245-6125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "SARA",
"middle_name": "MARIE",
"name_prefix": "Prof.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "13119-040",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "13119-040",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.