Individual provider Active NPI

Sherry Lynn Osceola, PHARMD.

  • Pharmacist
  • Fort Lauderdale, FL
National Provider Identifier
1073236931
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
64865 Issued in FL
Practice address
2240 E Sunrise Blvd
Fort Lauderdale, FL 33304-2543
Phone
(954) 566-8309
NPI assigned
Sep 26, 2022
Last updated
Mar 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 64865 FL Primary

Addresses

Primary practice location

2240 E Sunrise Blvd
Fort Lauderdale, FL 33304-2543

Mailing address

6340 N 35TH St
Hollywood, FL 33024-2148
Phone (954) 881-6117

Other names 1

  • Miss Sherry Lynn Marks Former name

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

State licenses

LicenseStateTypeSpecialty
64865FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1073236931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6340 N 35TH ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242148",
            "telephone_number": "954-881-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 E SUNRISE BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042543",
            "telephone_number": "954-566-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSCEOLA",
        "first_name": "SHERRY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "64865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "MARKS",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.