Organization Active NPI

Sunshine Pharmacy of Casselberry LLC

  • Pharmacy
  • Casselberry, FL
National Provider Identifier
1275127102
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
SUNSHINE PHARMACY OF CASSELBERRY LLC
Practice address
2915 Lakeview Dr Ste 1061
Casselberry, FL 32730-2009
Phone
(407) 790-7289
Fax
(321) 295-7978
NPI assigned
Feb 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Erika Angelete SlaterNPI 1467721688
Title
Pharmacy Manager
Phone
(407) 790-7289

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

2915 Lakeview Dr Ste 1061
Casselberry, FL 32730-2009

Mailing address

5040 W State Road 46 Ste 1126
Sanford, FL 32771-9252
Phone (407) 878-4272

Other names 1

  • Sunshine Pharmacy of Casselberry Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210914003057 FL Part B Supplier - Pharmacy 1254737364 Practice locations: Casselberry, FL

National Provider Directory

National Provider Directory

Locations

2915 Lakeview Dr
Fern Park, FL 32730

2915 Lakeview Dr
Ste 1061
Fern Park, FL 32730
Phone (407) 790-7254

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1275127102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 W STATE ROAD 46 STE 1126",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327719252",
            "telephone_number": "407-878-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 LAKEVIEW DR STE 1061",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327302009",
            "telephone_number": "407-790-7289",
            "fax_number": "321-295-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE PHARMACY OF CASSELBERRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "SLATER",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "ANGELETE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "407-790-7289"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunshine Pharmacy of Casselberry",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Sunshine Pharmacy of Casselberry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.