Sam David Pratt, RPH, FIACP

Primary specialty

PharmacistTaxonomy code 183500000X

License

13105 Issued in FL

Practice address

393 Maitland Ave.
Altamonte Springs, FL 32701-5432

Phone

(407) 260-7002

Fax

(407) 260-6795

NPI assigned

Apr 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pharmacy Specialists of Central Florida

  • Community/Retail Pharmacy
  • Altamonte Springs, FL
  • NPI 1083824122
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023139318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 MAITLAND AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015450",
            "telephone_number": "407-260-7002",
            "fax_number": "407-260-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 MAITLAND AVE.",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015432",
            "telephone_number": "407-260-7002",
            "fax_number": "407-260-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "SAM",
        "middle_name": "DAVID",
        "credential": "RPH, FIACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "13105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmin Powell
• Kristin D Powell, APRN
• Sydney Powell
• William D. Powell, BA CASE MANAGER
• Michelle Aileen Powers
• Robyn Prebenda, LMHC, M.ED.
• Don M. Preble, DMD
• Jonathan W Preble, D.M.D.
• Precision Eye Care Center LLC
• Premaplay LLC

• Pharmacist in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.