Organization Active NPI

Sunshine Community RX of Sarasota

  • Community/Retail Pharmacy
  • Tampa, FL
National Provider Identifier
1215321005
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH28933 Issued in FL
Legal business name
SUNSHINE COMMUNITY RX OF SARASOTA
Practice address
12615 Race Track Rd
Tampa, FL 33626-1331
Phone
(813) 703-8839
Fax
(813) 344-0599
NPI assigned
Mar 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Authorized official

Name
Mr. Virgil A Valdes Jr., RPT
Title
Managing Memeber
Phone
(813) 703-8839

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH28933 FL Primary

Addresses

Primary practice location

12615 Race Track Rd
Tampa, FL 33626-1331

Mailing address

12615 Race Track Rd
Tampa, FL 33626-1331
Phone (813) 703-8839

Other practice location 1

6919 N Dale Mabry Hwy Ste 150
Tampa, FL 33614-3860
Phone (813) 703-8839

Other identifiers 1

IdentifierTypeStateIssuer
2151957OtherPK

Other names 1

  • PrecisionMed Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

6919 N Dale Mabry Hwy
Ste 150
Tampa, FL 33614
Phone (813) 703-8839

12615 Race Track Rd
Westchase, FL 33626
Phone (813) 703-8839

NPI Registry JSON

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1215321005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12615 RACE TRACK RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261331",
            "telephone_number": "813-703-8839",
            "fax_number": "813-344-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12615 RACE TRACK RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261331",
            "telephone_number": "813-703-8839",
            "fax_number": "813-344-0599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6919 N Dale Mabry Hwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336143860",
            "country_code": "US",
            "telephone_number": "813-703-8839",
            "fax_number": "813-344-0599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNSHINE COMMUNITY RX OF SARASOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "VIRGIL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMEBER",
        "authorized_official_telephone_number": "813-703-8839",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPT"
    },
    "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": "PH28933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151957",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PrecisionMed Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PrecisionMed Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.