NPIMap

Organization Active NPI

SP Behavioral LLC

Doing business as Sandy Pines

  • Community/Retail Pharmacy
  • Tequesta, FL
National Provider Identifier
1285946350
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH24689 Issued in FL
Legal business name
SP BEHAVIORAL LLC
Doing business as
Sandy Pines
Practice address
11301 SE Tequesta Ter
Tequesta, FL 33469-8146
Phone
(561) 744-0211
Fax
(561) 972-4481
NPI assigned
Jul 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
John McCarthy
Title
Ceo
Phone
(561) 744-0211

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH24689 FL Primary
Institutional Pharmacy 3336I0012X

Addresses

Primary practice location

11301 SE Tequesta Ter
Tequesta, FL 33469-8146

Mailing address

11301 SE Tequesta Ter
Tequesta, FL 33469-8146
Phone (561) 744-0211

Other identifiers 1

IdentifierTypeStateIssuer
5701974OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Sandy Pines Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sandy Pines3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1285946350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 SE TEQUESTA TER",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334698146",
            "telephone_number": "561-744-0211",
            "fax_number": "561-972-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 SE TEQUESTA TER",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334698146",
            "telephone_number": "561-744-0211",
            "fax_number": "561-972-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SP BEHAVIORAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-744-0211"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24689",
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5701974",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandy Pines",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tequesta, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.