Active NPI
Sarah Park
- Pharmacist
- Ukiah, CA
National Provider Identifier
1922510908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 77661
- Practice address
- 2252 Old River Rd
Ukiah, CA 95482-6103 - Phone
- (609) 705-3684
- NPI assigned
- Oct 30, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 77661 | CA | Primary |
Addresses
Primary practice location
2252 Old River Rd
Ukiah, CA 95482-6103
Mailing address
2252 Old River Rd
Ukiah, CA 95482-6103
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 |
|---|---|---|---|
| 77661 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509321600000",
"number": "1922510908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2252 OLD RIVER RD",
"city": "UKIAH",
"state": "CA",
"postal_code": "954826103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2252 OLD RIVER RD",
"city": "UKIAH",
"state": "CA",
"postal_code": "954826103",
"telephone_number": "609-705-3684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-30",
"last_updated": "2017-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "77661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.