Active NPI
Jodi Sardina, PHARMD
- Pharmacist
- Port Saint Lucie, FL
National Provider Identifier
1285414177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS66392
- Practice address
- 7620 S US Highway 1
Port Saint Lucie, FL 34952-2320 - Phone
- (772) 878-1505
- NPI assigned
- Sep 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS66392 | FL | Primary |
Addresses
Primary practice location
7620 S US Highway 1
Port Saint Lucie, FL 34952-2320
Mailing address
9535 SW Ligorio Way
Port Saint Lucie, FL 34987-6315
Other practice location 1
1700 S 23rd St
Fort Pierce, FL 34950-4803
Phone (772) 461-4000
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS66392 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1695945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1285414177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9535 SW LIGORIO WAY",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349876315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7620 S US HIGHWAY 1",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349522320",
"telephone_number": "772-878-1505"
}
],
"practiceLocations": [
{
"address_1": "1700 S 23rd St",
"address_purpose": "LOCATION",
"city": "Fort Pierce",
"state": "FL",
"postal_code": "349504803",
"country_code": "US",
"telephone_number": "772-461-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SARDINA",
"first_name": "JODI",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-29",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS66392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.