Active NPI
Sara Shipley
- Pharmacist
- Port Saint Lucie, FL
National Provider Identifier
1073387171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS66592
- Practice address
- 9197 S Federal Hwy
Port Saint Lucie, FL 34952-3405 - Phone
- (772) 335-4668
- NPI assigned
- Nov 8, 2023
- 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 | PS66592 | FL | Primary |
Addresses
Primary practice location
9197 S Federal Hwy
Port Saint Lucie, FL 34952-3405
Mailing address
7409 Brookline Ave
Fort Pierce, FL 34951-1136
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 |
|---|---|---|---|
| PS66592 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
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": "1699401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699747200000",
"number": "1073387171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7409 BROOKLINE AVE",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349511136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9197 S FEDERAL HWY",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349523405",
"telephone_number": "772-335-4668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIPLEY",
"first_name": "SARA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-08",
"last_updated": "2023-11-12",
"certification_date": "2023-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS66592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.