Organization Active NPI

Careline Pharmacy and Healthcare Services LLC

Doing business as CareLine Pharmacy

  • Community/Retail Pharmacy
  • Seffner, FL
National Provider Identifier
1306333497
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH31332 Issued in FL
Legal business name
CARELINE PHARMACY AND HEALTHCARE SERVICES LLC
Doing business as
CareLine Pharmacy
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
Last updated
May 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Authorized official

Name
Sakyi Kobina Sarsah, DRNPI 1467026203
Title
Director
Phone
(813) 333-0870

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH31332 FL Primary

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 names 1

  • CareLine Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210224002623 FL Part B Supplier - Mass Immunization (Roster Biller Only) 6901224435 Practice locations: Seffner, FL

National Provider Directory

National Provider Directory

Locations

11200 Martin Luther King Blvd E
Ste 103
Seffner, FL 33584
Phone (813) 333-0870

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1306333497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 E MARTIN LUTHER KING BLVD",
            "address_2": "STE 103",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335848348",
            "telephone_number": "813-333-0870",
            "fax_number": "813-235-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 E MARTIN LUTHER KING BLVD",
            "address_2": "STE 103",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335843358",
            "telephone_number": "813-333-0870",
            "fax_number": "813-235-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARELINE PHARMACY AND HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "SARSAH",
        "authorized_official_first_name": "SAKYI",
        "authorized_official_middle_name": "KOBINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "813-333-0870",
        "authorized_official_credential": "DR"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH31332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareLine Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CareLine Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seffner, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.