Sean Fernberg, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS52800 Issued in FL

Practice address

3370 Tamiami TRL
Port Charlotte, FL 33952-8127

Phone

(941) 979-9085

Fax

(941) 979-8146

NPI assigned

Feb 3, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Famy Inc

  • Community/Retail Pharmacy
  • Port Charlotte, FL
  • NPI 1639455447
  NPD (past)
• Famy Inc

  • Long Term Care Pharmacy
  • Port Charlotte, FL
  • NPI 1770232720
  NPD (past)

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

{
    "created_epoch": "1549152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549152000000",
    "number": "1295290336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 TAMIAMI TRL",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528127",
            "telephone_number": "941-979-9085",
            "fax_number": "941-979-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 TAMIAMI TRL",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528127",
            "telephone_number": "941-979-9085",
            "fax_number": "941-979-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNBERG",
        "first_name": "SEAN",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-03",
        "last_updated": "2019-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS52800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Ferguson
• Humberto Homero Fernandez Moreno
• Christie Fernandez
• Luis F Fernandez, MD
• Martha Fernandez
• Lisa Marie Ferrentino, ARNP
• Annette Fiedler, LMHC
• Sara Field, DPT
• Chase Stephen Fifarek, D.C.
• Jaime Figueredo, LMT

• Pharmacist in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.