SG Pharmaceuticals LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

29523 Issued in FL

Legal business name

SG PHARMACEUTICALS LLC

Doing business as

Lake Seminole Pharmacy

Practice address

13191 Starkey Rd Ste 3
Largo, FL 33773-1438

Phone

(727) 592-4588

Fax

(727) 592-4541

NPI assigned

Nov 18, 2015

Organization subpart

No

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

Authorized official

Name

Mario SalibNPI 1922846120

Title

RPH

Phone

(727) 592-4588

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Lake Seminole Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Lake Seminole Pharmacy2 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.

• SG Pharmaceuticals LLC

  • Long Term Care Pharmacy
  • Largo, FL
  • NPI 1558932335
  NPD tax ID

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners 1

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

• Mario Salib

  • Pharmacist
  • Seminole, FL
  • NPI 1922846120
  NPD Authorized official

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1073987723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13191 STARKEY RD STE 3",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337731438",
            "telephone_number": "727-592-4588",
            "fax_number": "727-592-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13191 STARKEY RD STE 3",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337731438",
            "telephone_number": "727-592-4588",
            "fax_number": "727-592-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SG PHARMACEUTICALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "SALIB",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "727-592-4588"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "29523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2156193",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Seminole Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darla Seneker
• Seniormed LLC (Seniormed Pharmacy)
• Carolina Isabel Sepulveda Ramos, DO
• Lauren Belcher Serata, M.A., CCC-SLP
• Jaclyn Settje Settje, LPC, LPC-MHSP, LMHC
• SG Pharmaceuticals LLC
• Ellen Shabo
• Shamsia Shafi, DDS
• Ashley Shafter, BCBA
• Apurva Bharat Shah, MD

• Community/Retail Pharmacy in Largo, FL
• Providers in Largo, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.