Active NPI
Sandy Lam
- Pharmacist
- Greeley, CO
National Provider Identifier
1962806562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16410
- Practice address
- 4548 Centerplace Dr
Greeley, CO 80634-3747 - Phone
- (970) 330-9962
- Fax
- (970) 330-9967
- NPI assigned
- Oct 10, 2014
- Last updated
- Oct 10, 2014
- 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 | 16410 | CO | Primary |
Addresses
Primary practice location
4548 Centerplace Dr
Greeley, CO 80634-3747
Mailing address
4548 Centerplace Dr
Greeley, CO 80634-3747
Phone (970) 330-9962
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16410 | Other | CO | STATE LICENSE |
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 |
|---|---|---|---|
| 16410 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412899200000",
"number": "1962806562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4548 CENTERPLACE DR",
"city": "GREELEY",
"state": "CO",
"postal_code": "806343747",
"telephone_number": "970-330-9962",
"fax_number": "970-330-9967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4548 CENTERPLACE DR",
"city": "GREELEY",
"state": "CO",
"postal_code": "806343747",
"telephone_number": "970-330-9962",
"fax_number": "970-330-9967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "SANDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-10",
"last_updated": "2014-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "16410",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "16410",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.