Individual provider Active NPI

Sabrina Carlough

  • Pharmacist
  • Jacksonville, FL
National Provider Identifier
1053658898
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS41181 Issued in FL
Practice address
4413 Town Center Pkwy Ste 100
Jacksonville, FL 32246-8570
Phone
(904) 564-3790
NPI assigned
Jan 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS41181 FL Primary

Addresses

Primary practice location

4413 Town Center Pkwy Ste 100
Jacksonville, FL 32246-8570

Mailing address

4413 Town Center Pkwy Ste 100
Jacksonville, FL 32246-8570
Phone (904) 564-3790

Other practice location 1

1075 Oakleaf Plantation Pkwy
Ste 200
Orange Park, FL 32065-3624
Phone (904) 291-5203

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

LicenseStateTypeSpecialty
PS41181FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Publix Super Markets Inc PastSince Nov 9, 2021 Accepting new patients
Publix Super Markets Inc PastSince Nov 9, 2021 Accepting new patients
Publix Super Markets Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1053658898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 TOWN CENTER PKWY STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468570",
            "telephone_number": "904-564-3790",
            "fax_number": "904-564-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4413 TOWN CENTER PKWY STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468570",
            "telephone_number": "904-564-3790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1075 Oakleaf Plantation Pkwy",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320653624",
            "country_code": "US",
            "telephone_number": "904-291-5203",
            "fax_number": "904-291-5651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLOUGH",
        "first_name": "SABRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS41181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.