Healthcare Provider Details

I. General information

NPI: 1619153012
Provider Name (Legal Business Name): SARAH BILLINGS PHARMD, BCACP, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2008
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 E REPUBLIC RD
SPRINGFIELD MO
65804-6530
US

IV. Provider business mailing address

4452 E AMBROSE DR
SPRINGFIELD MO
65802-2446
US

V. Phone/Fax

Practice location:
  • Phone: 417-269-1362
  • Fax: 417-269-1372
Mailing address:
  • Phone: 417-881-1761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2007022157
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number2007022157
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number2007022157
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: