Senior Care Pharmacy of Florida LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PH18723 Issued in FL

Legal business name

SENIOR CARE PHARMACY OF FLORIDA LLC

Practice address

4175 S Pipkin Rd Ste 208
Lakeland, FL 33811-1699

Phone

(863) 577-1440

NPI assigned

Nov 14, 2005

Organization subpart

No

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

Authorized official

Name

Alan Obringer

Title

Executive Director

Phone

(863) 577-1440

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SENIOR CARE PHARMACY Doing business as

Locations

Practitioners 1

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

• Heather Petrie, PHARMD, CPH

  • Pharmacist
  • Lakeland, FL
  • NPI 1063833879
  NPD (past)

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1023090362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 FAIRFAX PARK",
            "address_2": "ATTN: LYNN CONNOR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062805",
            "telephone_number": "205-310-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 S PIPKIN RD STE 208",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338111699",
            "telephone_number": "863-577-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE PHARMACY OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "OBRINGER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "863-577-1440"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH18723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2014992",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025634000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SENIOR CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Select Physical Therapy
• Alicia Self, DNP-FNP-C
• Michael Semanco, PHARMD
• Nicole Marro Semaskvich, APRN
• Eric Senate
• Senior Living Properties IV, LLC
• Senior'S Home Health LLC
• Jillian Marie Sennello, DDS
• Debra L. Seoane, M.D.
• Sergio B. Seoane, M.D.

• Long Term Care Pharmacy in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Long Term Care Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.