SALLY A SORAWAT (NPI# 1225191695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225191695 |
| Entity Type | Individual |
| Full Name | SALLY A SORAWAT |
| Credential | RPH |
| Practice Address |
1395 Columbia Rd S Medicap Pharmacy Grand Forks ND 58201 |
| Mailing Address |
309 N 49th St Grand Forks ND 58203 |
| Practice Telephone | 7017461800 |
| Practice Fax Number | 7017464040 |
| Mailing Telephone | 7017725302 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 3435 | ND | Pharmacy Service Providers |
| Street Address |
1395 COLUMBIA RD S MEDICAP PHARMACY |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649742719 | Kari Kristyn Nelson | Pharmacist | 2891 2nd Ave N, Grand Forks, ND 58202-6062 | 2018-12-29 |
| 1932654720 | Hope Schnieder | Pharmacist | 360 Division Ave Ste 100, Grand Forks, ND 58201-4702 | 2016-08-22 |
| 1982094280 | Bryan D Miller | Pharmacist | 1940 23rd Ave S, Grand Forks, ND 58201-6212 | 2015-01-26 |
| 1306263249 | Colleen Carlson | Pharmacist | 1202 Russet, Grand Forks, ND 58201-3713 | 2014-03-27 |
| 1396185286 | Erica Lea Hoffner | Pharmacist | 2475 32nd Ave S Ste 1, Grand Forks, ND 58201-3606 | 2013-06-25 |
| 1548545981 | Samantha Whitney Buck | Pharmacist | 2424 32nd Ave S Ste 101b, Grand Forks, ND 58201-6509 | 2011-10-17 |
| 1063718773 | Jeffrey Lynn Theige | Pharmacist | 1395 S Columbia Rd Ste C, Grand Forks, ND 58201-4054 | 2011-01-28 |
| 1407162894 | Rodney E Nett | Pharmacist | 708 S. Washington St, Grand Forks, ND 58201-4328 | 2010-08-24 |
| 1255647657 | Todd James Galbreath | Pharmacist | 1200 So. Columbia Rd., Altru Retail Pharmacy, Grand Forks, ND 58206-6002 | 2010-08-23 |
| 1164639076 | George Birkmaier | Pharmacist | 2015 Library Cir Ste 102, Grand Forks, ND 58201-6387 | 2007-05-17 |
| Find all providers in GRAND FORKS | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
Please comment or provide details below to improve the information on SALLY A SORAWAT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.