Organization Active NPI

Sandhills Family Medicine

  • Pharmacist
  • Mullen, NE
National Provider Identifier
1912028689
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18005 Issued in NE
Legal business name
SANDHILLS FAMILY MEDICINE
Practice address
207 West 4TH Street
Mullen, NE 69152-1555
Phone
(308) 546-2213
Fax
(308) 546-2263
NPI assigned
Apr 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Margaret Mary Cavanaugh-Boyer, M.D.NPI 1326129933
Title
Doctor
Phone
(308) 546-2213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18005 NE Primary

Addresses

Primary practice location

207 West 4TH Street
Mullen, NE 69152-1555

Mailing address

207 West 4TH Street
Mullen, NE 69152
Phone (308) 546-2213

Other identifiers 1

IdentifierTypeStateIssuer
2814196OtherNEPHARMACY NABP

Other names 1

  • Sandhills Family Medicine Pharmacy Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912028689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 WEST 4TH STREET",
            "city": "MULLEN",
            "state": "NE",
            "postal_code": "69152",
            "telephone_number": "308-546-2213",
            "fax_number": "308-546-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 WEST 4TH STREET",
            "city": "MULLEN",
            "state": "NE",
            "postal_code": "691521555",
            "telephone_number": "308-546-2213",
            "fax_number": "308-546-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDHILLS FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAVANAUGH-BOYER",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "308-546-2213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "18005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY NABP",
            "identifier": "2814196",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandhills Family Medicine Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mullen, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.