MRS. SARAH LYN WILLIS (NPI# 1407077605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407077605 |
| Entity Type | Individual |
| Full Name | MRS. SARAH LYN WILLIS |
| Credential | RPH |
| Practice Address |
15446 Manchester Road Ballwin MO 63011 |
| Mailing Address |
2310 Johnnycake Ridge Ct Wildwood MO 63011 |
| Practice Telephone | 3149201864 |
| Mailing Telephone | 3149201864 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2002029706 | MO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467001966 | Sarah Willis | Counselor | 608 Briar Ct, Virginia Beach, VA 23452-2003 | 2019-09-06 |
| 1184118697 | Sarah Phillips Willis | Registered Nurse | 109 Hickory Trail Dr, Harvest, AL 35749-7908 | 2018-06-18 |
| 1982740569 | Sarah Willis | Counselor | 2030 Ashley Rd, Charlotte, NC 28208-3714 | 2007-01-30 |
| 1649882432 | Sarah Margaret Willis | Audiologist | 6550 Fannin St Ste 1723, Houston, TX 77030-2747 | 2020-08-21 |
| 1306492020 | Sarah Willis | Technician, Other | 1001 Laurence Ave, Jackson, MI 49202-2979 | 2019-08-19 |
| 1790184570 | Sarah Willis | Pharmacist | 6010 W Amarillo Blvd, Amarillo, TX 79106-1990 | 2014-08-18 |
| 1194136911 | Sarah Willis | Pharmacist | 50 Holyoke St, Target Pharmacy, Holyoke, MA 01040-2709 | 2014-05-14 |
| 1043642556 | Sarah Willis | Case Manager/Care Coordinator | 3717 Taylorsville Rd, 1st Floor, Louisville, KY 40220-1333 | 2013-08-07 |
| 1134455512 | Sarah J Willis | Counselor | 801 N Holtzclaw Ave, Suite 101, Chattanooga, TN 37404-1236 | 2009-10-20 |
| 1104050715 | Sarah Ann Willis | Physical Therapist | 14450 S Outer 40, Chesterfield, MO 63017-5711 | 2009-05-11 |
| Street Address |
15446 MANCHESTER ROAD |
| City | BALLWIN |
| State | MO |
| Zip Code | 63011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309234 | Heather Renee Leone | Nurse Practitioner | 452 Sovereign Court Suite A, Ballwin, MO 63011 | 2019-01-02 |
| 1538635297 | Jennifer Lea Nicole O'donnell | Registered Nurse | 13861 Manchester Road, Town and Country, MO 63011 | 2018-10-22 |
| 1285127712 | Genevieve Friedmann | Social Worker | 301 Sovereign Ct Ste 103, Ballwin, MO 63011 | 2018-06-09 |
| 1881187391 | Andrew Cittadino Link | Dentist | 14335 Manchester Road, Ballwin, MO 63011 | 2018-06-08 |
| 1972041283 | Anavan LLC | Durable Medical Equipment & Medical Supplies | 14390 Manchester Rd, Saint Louis, MO 63011 | 2017-02-07 |
| 1780131300 | Autism and Behavioral Spectrum LLC | Day Training, Developmentally Disabled Services | 14733 Clayton Road, Chesterfield, MO 63011 | 2016-09-01 |
| 1265872964 | Eryn Nichole Miner | Behavioral Analyst | 15834 Clayton Road, Ellisville, MO 63011 | 2013-06-27 |
| 1194168765 | Donna Margaret Carrillo | Developmental Therapist | 15834 Clayton Rd., Ellisville, MO 63011 | 2013-04-12 |
| 1891047486 | Ashley Amanda Battaglia | Chiropractor | 15945 Clayton Rd Ste 230c, Ballwin, MO 63011 | 2012-10-08 |
| 1750658480 | Gary Frank Sobocinski | Pharmacist | 4033 Sovereign Court, Ballwin, MO 63011 | 2011-11-23 |
| Find all providers in zip 63011 | ||||
| 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 |
|---|---|---|---|---|
| 1063998011 | Nomana Malik | Pharmacist | 214 Straightoak Ct, Ballwin, MO 63021-6566 | 2018-07-12 |
| 1750658480 | Gary Frank Sobocinski | Pharmacist | 4033 Sovereign Court, Ballwin, MO 63011 | 2011-11-23 |
| 1538446554 | Mario Everardo Coronado | Pharmacist | 731 Rockridge Dr, Ballwin, MO 63021-6615 | 2011-11-04 |
| 1881979201 | Laura M Oak | Pharmacist | 2305 Barrett Place Ct, Ballwin, MO 63021 | 2011-10-17 |
| 1417247867 | Anna M Keaton | Pharmacist | 15945 Clayton Road, Suite 140, Ballwin, MO 63011-2146 | 2011-04-19 |
| 1922051390 | Donna L Schultz | Pharmacist | 433 Sovereign Ct, Ballwin, MO 63011-4432 | 2006-05-18 |
| 1396728671 | Todd Hessel | Pharmacist | 347 Alverston Ct, Ballwin, MO 63021-6168 | 2005-11-21 |
| 1780290346 | Jasmine Williams | Pharmacist | 13992 Manchester Rd, Ballwin, MO 63011-4517 | 2020-09-18 |
| 1720691124 | Shalece Nicole Johnson | Pharmacist | 13992 Manchester Rd, Ballwin, MO 63011-4517 | 2020-08-25 |
| 1831701507 | Humza Ahmad | Pharmacist | 1391 Big Bend Rd, Ballwin, MO 63021-7616 | 2020-08-23 |
| Find all providers in BALLWIN | ||||
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| 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.