Active NPI
Renee Sandlak, RPH, PHARMD
- Pharmacist
- Apopka, FL
National Provider Identifier
1043589542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS45872
- Practice address
- 125 E Main St
Apopka, FL 32703-2072 - Phone
- (407) 435-0543
- NPI assigned
- Dec 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | PS45872 | FL | Primary |
Addresses
Primary practice location
125 E Main St
Apopka, FL 32703-2072
Mailing address
121 Lamplighter Rd
Altamonte Springs, FL 32714-2072
Phone (407) 435-0543
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
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS45872 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325116800000",
"number": "1043589542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 LAMPLIGHTER RD",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327142072",
"telephone_number": "407-435-0543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 E MAIN ST",
"city": "APOPKA",
"state": "FL",
"postal_code": "327032072",
"telephone_number": "407-435-0543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDLAK",
"first_name": "RENEE",
"name_prefix": "Dr.",
"credential": "RPH, PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-29",
"last_updated": "2011-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS45872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Apopka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.