Organization Active NPI

Sarasota Specialty PHRM and Wellness Ctr

  • Community/Retail Pharmacy
  • Sarasota, FL
National Provider Identifier
1003933474
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH22463 Issued in FL
Legal business name
SARASOTA SPECIALTY PHRM AND WELLNESS CTR
Practice address
2075 Siesta Dr
Sarasota, FL 34239-5232
Phone
(941) 366-0880
Fax
(941) 366-4977
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gerald Letendre, RPHNPI 1538386594
Title
Mba
Phone
(941) 366-0880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH22463 FL Primary

Addresses

Primary practice location

2075 Siesta Dr
Sarasota, FL 34239-5232

Mailing address

2075 Siesta Dr
Sarasota, FL 34239-5232

Other identifiers 1

IdentifierTypeStateIssuer
1020178OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • SARASOTA SPECIALTY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

2075 Siesta Dr
Sarasota, FL 34239
Phone (941) 366-0880

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1003933474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 SIESTA DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342395232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 SIESTA DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342395232",
            "telephone_number": "941-366-0880",
            "fax_number": "941-366-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARASOTA SPECIALTY PHRM AND WELLNESS CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "LETENDRE",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "MBA",
        "authorized_official_telephone_number": "941-366-0880",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH22463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1020178",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SARASOTA SPECIALTY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.