Sara Maria Sidaoui, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS63616 Issued in FL

Practice address

8040 Mediterranean Dr
Estero, FL 33928-8304

Phone

(239) 495-4921

Fax

(239) 495-4931

NPI assigned

Sep 26, 2022

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1306569280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 MEDITERRANEAN DR",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339288304",
            "telephone_number": "239-495-4921",
            "fax_number": "239-495-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 MEDITERRANEAN DR",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339288304",
            "telephone_number": "239-495-4921",
            "fax_number": "239-495-4931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDAOUI",
        "first_name": "SARA",
        "middle_name": "MARIA",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS63616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ola Sheik Roberts, DPM
• Kathleen A Shelton, APRN
• Jennifer Sherwin, MD
• Brian J Shiple, DO
• Iva Shkurti, MD
• Kaylie Lynne Siedow
• Sievers and Company, LLC (Teresa A. Siever, MD)
• Michael Aaron Sills, D.C.
• Dante Simmons, PHARMD
• Scott W Sitterson

• Pharmacist in Estero, FL
• Providers in Estero, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.