Seniormed LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

SENIORMED LLC

Practice address

12505 Starkey Rd
Suite C
Largo, FL 33773-2621

Phone

(727) 230-0839

NPI assigned

Oct 2, 2007

Organization subpart

Yes

Parent organization

WALGREEN CO.As reported in NPPES

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

Authorized official

Name

Mr. Kermit R Crawford

Title

Sr Vice President

Phone

(847) 914-3154

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Seniormed Pharmacy Doing business as

Tax ID family

Seniormed LLC2 organizations share this tax ID, including this one

Part of

Walgreens 16466

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Seniormed LLC FL

  • Specialty Pharmacy
  • Tampa, FL
  • NPI 1396787172
  NPD tax ID

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1023205226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E VOORHEES ST",
            "address_2": "MS 720",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618344509",
            "telephone_number": "217-554-8964",
            "fax_number": "217-554-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12505 STARKEY RD",
            "address_2": "SUITE C",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337732621",
            "telephone_number": "727-230-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORMED LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALGREEN CO.",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "KERMIT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SR VICE PRESIDENT",
        "authorized_official_telephone_number": "847-914-3154",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH23017",
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1029900",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seniormed Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Select Medical Rehabilitation Services Inc
• Alicia Anne Self, PHARM D
• Colton Sellars, MD
• John Sellers, MA
• Darla Seneker
• Carolina Isabel Sepulveda Ramos, DO
• Lauren Belcher Serata, M.A., CCC-SLP
• Jaclyn Settje Settje, LPC, LPC-MHSP, LMHC
• SG Pharmaceuticals LLC
• SG Pharmaceuticals LLC

• Long Term Care Pharmacy in Largo, FL
• Providers in Largo, 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 Dec 10, 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.