Serenity Brooke Ford, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS40064 Issued in FL

Practice address

1451 Sebastian Blvd Ste 200
Sebastian, FL 32958-8200

Phone

(772) 581-5725

NPI assigned

May 10, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1760356380
  NPD (past)

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539475200000",
    "number": "1194171975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 SEBASTIAN BLVD STE 200",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329588200",
            "telephone_number": "772-581-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 SEBASTIAN BLVD STE 200",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329588200",
            "telephone_number": "772-581-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "SERENITY",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2018-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS40064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Cancer Specialists P L
• Florida Em-I Medical Services PA
• Florida Pain Management Associates PA.
• Carlo Daniel Fodor, O.D.
• Desmond Fonji, D.O
• Amanda Nicole Forget, MS OTR/L, CLT
• Christine Marie Foster, DDS
• Amanda K France, CRNA
• Courtney Carroll Frazier, ARNP
• Sharon Bowlus French, LDO

• Pharmacist in Sebastian, FL
• Providers in Sebastian, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2018; 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.