Organization Active NPI

S a S B Inc

  • Community/Retail Pharmacy
  • Okeechobee, FL
National Provider Identifier
1063419372
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH8238 Issued in FL
Legal business name
S A S B INC
Practice address
203 SW Park St
Okeechobee, FL 34972-4160
Phone
(863) 763-5100
Fax
(863) 763-7550
NPI assigned
Jun 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Mr. Steven David Nelson, RPH CPHNPI 1093712051
Title
Ceo Pres
Phone
(863) 763-5100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH8238 FL Primary

Addresses

Primary practice location

203 SW Park St
Okeechobee, FL 34972-4160

Mailing address

203 SW Park St
Okeechobee, FL 34972-4160
Phone (863) 763-5100

Other identifiers 1

IdentifierTypeStateIssuer
105007900MedicaidFL

Other names 1

  • Okeecobee Discount Drugs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140509001405 FL Part B Supplier - Mass Immunization (Roster Biller Only) 5597881227 Practice locations: Okeechobee, FL

National Provider Directory

National Provider Directory
Tax ID family
Okeecobee Discount Drugs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

203 SW Park St
Okeechobee, FL 34972
Phone (863) 763-5100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1063419372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 SW PARK ST",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349724160",
            "telephone_number": "863-763-5100",
            "fax_number": "863-763-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 SW PARK ST",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349724160",
            "telephone_number": "863-763-5100",
            "fax_number": "863-763-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S A S B INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO  PRES",
        "authorized_official_telephone_number": "863-763-5100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH  CPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH8238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105007900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Okeecobee Discount Drugs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Okeecobee Discount Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Okeechobee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.