Active NPI
Sara Lyn King, RPH
- Pharmacist
- Kenedy, TX
National Provider Identifier
1962130401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 39032
- Practice address
- 200 Business Park Blvd
Kenedy, TX 78119-2026 - Phone
- (830) 583-9825
- Fax
- (830) 583-9763
- NPI assigned
- Aug 11, 2022
- Last updated
- Aug 11, 2022
- 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 | 39032 | TX | Primary |
Addresses
Primary practice location
200 Business Park Blvd
Kenedy, TX 78119-2026
Mailing address
200 Business Park Blvd
Kenedy, TX 78119-2026
Phone (830) 583-9825
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
- Registered Pharmacist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1962130401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BUSINESS PARK BLVD",
"city": "KENEDY",
"state": "TX",
"postal_code": "781192026",
"telephone_number": "830-583-9825",
"fax_number": "830-583-9763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BUSINESS PARK BLVD",
"city": "KENEDY",
"state": "TX",
"postal_code": "781192026",
"telephone_number": "830-583-9825",
"fax_number": "830-583-9763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "SARA",
"middle_name": "LYN",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-11",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "39032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenedy, TX
- Kenedy Dental PLLC
- Kenedy I Enterprises, LLC (Kenedy Health & Rehabilitation)
- Kenedy Independent School District
- Kenedy Manor Nursing Home Inc (Legacy Living Centers)
- Khush Dentistry PLLC (Agave Dental)
- Frederick Ryan Wade Krause, M.D.
- Crista Kuhn, M.S. CCC-SLP
- Charles Kwokem
- Luka Health, LLC
- Allison Leigh Martin, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.