SARAH NICKMAN (NPI# 1376155408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376155408 |
| Entity Type | Individual |
| Full Name | SARAH NICKMAN |
| Credential | PHARMD |
| Practice Address |
3845 Broadway Blvd Kansas City MO 64111-2507 |
| Practice Telephone | 8165617620 |
| Practice Fax Number | 8165619582 |
| Mailing Telephone | 8165617620 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2019028184 | MO | Pharmacy Service Providers |
| Street Address |
3845 BROADWAY BLVD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053384594 | Daniel Snyder | Registered Nurse | 3845 Broadway Blvd, Kansas City, MO 64111-2507 | 2006-02-07 |
| 1053707687 | Kelly Ann Martin | Pharmacist | 3845 Broadway Blvd, Kansas City, MO 64111-2507 | 2015-04-10 |
| 1881080513 | Andrew Mclaughlin | Pharmacist | 3845 Broadway Blvd, Kansas City, MO 64111-2507 | 2015-04-09 |
| 1770986085 | David Viet Tran | Pharmacist | 3845 Broadway Blvd, Kansas City, MO 64111-2507 | 2014-09-30 |
| 1063798080 | Kelsey A Erwin | Pharmacist | 3845 Broadway Blvd, Kansas City, MO 64111 | 2011-10-24 |
| 1366457392 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3845 Broadway Blvd, Kansas City, MO 64111-2507 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| 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 |
|---|---|---|---|---|
| 1225639065 | Kimberly Frederich | Pharmacist | 6149 N Mattox Rd, Kansas City, MO 64151-2579 | 2020-11-06 |
| 1396352753 | Alexis Cornelio | Pharmacist | 425 Washington St Apt 409, Kansas City, MO 64105-1115 | 2020-09-29 |
| 1255946513 | Kelly Robertson | Pharmacist | 3901 Rainbow Blvd # Ms 4040, Kansas City, KS 66160-8500 | 2020-09-14 |
| 1447869805 | Andrew Jay Schumacher | Pharmacist | 6119 Holmes St, Kansas City, MO 64110-3343 | 2020-07-30 |
| 1215559182 | Hetal Shah | Pharmacist | 985 Pennsylvania Ave, Kansas City, MO 64105-1315 | 2020-05-13 |
| 1447889787 | James Colin Leach | Pharmacist | 4515 Walnut St Apt 306a, Kansas City, MO 64111-7732 | 2020-04-08 |
| 1831737790 | Angela Cathleen Sanders | Pharmacist | 301 E Armour Blvd Ste 2-east, Kansas City, MO 64111-1245 | 2019-12-11 |
| 1205480837 | Janis Kay Wyland | Pharmacist | 1336 Ne 106th Ter, Kansas City, MO 64155-1746 | 2019-07-31 |
| 1962067751 | Edward Alviso | Pharmacist | 5815 N Ames Ave, Kansas City, MO 64151-2182 | 2019-05-07 |
| 1053976076 | Elaina Siegel | Pharmacist | 10238 N Mckinley Ave, Kansas City, MO 64157-7907 | 2019-05-06 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
Please comment or provide details below to improve the information on SARAH NICKMAN.
| 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.