Individual provider Active NPI

Sara Bassam Channaoui, PHARMD

  • Pharmacist
  • Coral Springs, FL
National Provider Identifier
1225751209
Registry record updated Aug 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS63642 Issued in FL
Practice address
3700 NW 126TH Ave
Coral Springs, FL 33065-2408
Phone
(888) 224-5181
NPI assigned
Sep 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS63642 FL Primary

Addresses

Primary practice location

3700 NW 126TH Ave
Coral Springs, FL 33065-2408

Mailing address

3700 NW 126TH Ave
Coral Springs, FL 33065-2408
Phone (754) 529-8353

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
PS63642FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Holiday CVS L.L.C. PastSince Sep 1, 2022 Accepting new patients
Cre8 Pharmacy Group PastSince Jun 29, 2025 Accepting new patients
Holiday CVS LLC PastSince Sep 1, 2022 Accepting new patients

Organizations & group practices 3

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": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754784000000",
    "number": "1225751209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 NW 126TH AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330652408",
            "telephone_number": "754-529-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 NW 126TH AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330652408",
            "telephone_number": "888-224-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANNAOUI",
        "first_name": "SARA",
        "middle_name": "BASSAM",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2025-08-10",
        "certification_date": "2025-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS63642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2025; 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.