Active NPI
Lonnie Hilton Sanders, PHARM.D
- Pharmacist
- Lake Mary, FL
National Provider Identifier
1316290661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS22730
- Practice address
- 1201 S International Pkwy
Lake Mary, FL 32746-1615 - Phone
- (407) 805-9148
- Fax
- (407) 805-0126
- NPI assigned
- Oct 24, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS22730 | FL | Primary |
Addresses
Primary practice location
1201 S International Pkwy
Lake Mary, FL 32746-1615
Mailing address
1201 S, International Parkway
Lake Mary, FL 32746-1615
Phone (407) 805-9148
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS22730 | Other | FL | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS22730 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351036800000",
"number": "1316290661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 S, INTERNATIONAL PARKWAY",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327461615",
"telephone_number": "407-805-9148",
"fax_number": "407-805-0126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 S INTERNATIONAL PKWY",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327461615",
"telephone_number": "407-805-9148",
"fax_number": "407-805-0126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "LONNIE",
"middle_name": "HILTON",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-24",
"last_updated": "2012-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS22730",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PS22730",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.