Healthcare Provider Details

I. General information

NPI: 1265750145
Provider Name (Legal Business Name): SARA ROONEY PHARMD, BCPPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2010
Last Update Date: 06/15/2021
Certification Date: 06/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MICHIGAN AVE NW
WASHINGTON DC
20010-2916
US

IV. Provider business mailing address

HQ 101 UNIVERSITY OF KENTUCKY 800 ROSE ST
LEXINGTON KY
40536-0293
US

V. Phone/Fax

Practice location:
  • Phone: 202-476-2695
  • Fax:
Mailing address:
  • Phone: 704-692-1784
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1835P0200X
TaxonomyPediatric Pharmacist
License Number8150414
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: