Basic Information
| Provider Information | |||||||||
| NPI: | 1619153012 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BILLINGS | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PHARMD, BCACP, CDE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4452 E AMBROSE DR | ||||||||
| Address2: | |||||||||
| City: | SPRINGFIELD | ||||||||
| State: | MO | ||||||||
| PostalCode: | 658022446 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4178811761 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1530 E REPUBLIC RD | ||||||||
| Address2: | |||||||||
| City: | SPRINGFIELD | ||||||||
| State: | MO | ||||||||
| PostalCode: | 658046530 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4172691362 | ||||||||
| FaxNumber: | 4172691372 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/15/2008 | ||||||||
| LastUpdateDate: | 03/17/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 2007022157 | MO | N | Pharmacy Service Providers | Pharmacist | 1835P0018X | 2007022157 | MO | N | Pharmacy Service Providers | Pharmacist | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P2201X | 2007022157 | MO | Y |
No ID Information.