Careline Pharmacy and Healthcare Services LLC
Organization Active NPI Community/Retail Pharmacy · Seffner, FL
NPI 1306333497 · NPPES record last updated May 21, 2021
Key facts
- NPI
- 1306333497
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PH31332 (FL)
- Legal business name
- CARELINE PHARMACY AND HEALTHCARE SERVICES LLC
- Practice address
- 11200 E Martin Luther King Blvd
Ste 103
Seffner, FL 33584-3358 - Phone
- (813) 333-0870
- Fax
- (813) 235-4726
- NPI assigned
- Apr 16, 2018
- Organization subpart
- No
Authorized official
- Name
- Sakyi Kobina Sarsah, DR
- Title
- Director
- Phone
- (813) 333-0870
Practitioners 1
-
Sakyi Kobina Sarsah, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210224002623 | FL | Part B Supplier - Mass Immunization (Roster Biller Only) | 6901224435 | Practice locations: Seffner, FL |
National Provider Directory
Locations
11200 Martin Luther King Blvd E
Ste 103
Seffner, FL 33584
Phone (813) 333-0870
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PH31332 | FL | Yes |
Addresses
Primary practice location
11200 E Martin Luther King Blvd
Ste 103
Seffner, FL 33584-3358
Mailing address
11200 E Martin Luther King Blvd
Ste 103
Seffner, FL 33584-8348
Phone (813) 333-0870
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2177009 | Other | PK | |
| 025096400 | Medicaid | FL |
Other names
- CareLine Pharmacy
Other providers in Seffner, FL
- Uniquee Brown
- Gregory L Cagle
- Aned Camba
- Anthony D Campbell
- Shaundra Campbell
- Casey Comprehensive Care
- Casey Comprehensive Care
- Charline Castro Amores
- Vicky Atala Catalan
- Brianne Chandler
All providers in Seffner, FL · Community/Retail Pharmacy in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.