Active NPI
Julia Sachs
- Pharmacist
- St Augustine, FL
National Provider Identifier
1023735149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS51891
- Practice address
- 3690 US 1 S
St Augustine, FL 32086-6498 - Phone
- (904) 794-1399
- NPI assigned
- Oct 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS51891 | FL | Primary |
Addresses
Primary practice location
3690 US 1 S
St Augustine, FL 32086-6498
Mailing address
3690 US 1 S
St Augustine, FL 32086-6498
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS51891 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moultrie Pharmacy Inc | Current | Accepting new patients | |
| Moultrie Pharmacy Inc | Past | Accepting new patients |
Locations
3690 US Highway 1 S
Saint Augustine, FL 32086
Phone (904) 794-1399
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- St Augustine, FL
- NPI 1891656203
-
- Community/Retail Pharmacy
- St Augustine, FL
- NPI 1740270099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1023735149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3690 US 1 S",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320866498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3690 US 1 S",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320866498",
"telephone_number": "904-794-1399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACHS",
"first_name": "JULIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-20",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS51891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.