Healthcare Provider Details

I. General information

NPI: 1396435202
Provider Name (Legal Business Name): KIMBERLY SAGER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2023
Last Update Date: 05/12/2023
Certification Date: 05/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 WESTCHESTER AVE
WEST HARRISON NY
10604-3200
US

IV. Provider business mailing address

15 BANK ST APT 102B
WHITE PLAINS NY
10606-2017
US

V. Phone/Fax

Practice location:
  • Phone: 914-367-7015
  • Fax:
Mailing address:
  • Phone: 603-505-5755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number3812
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: