Sagp Pharma LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SAGP PHARMA LLC

Practice address

1371 S Walnut St Ste 1400
Starke, FL 32091-4426

Phone

(407) 388-8997

NPI assigned

Mar 19, 2024

Last updated

Mar 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sandi Ghobrial, RPHNPI 1831694512

Title

Ao

Phone

(407) 388-8997

Specialties & licenses 1

Addresses

Locations

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.

• Sandi Ghobrial

  • Pharmacist
  • Jacksonville, FL
  • NPI 1831694512
  NPD Authorized official

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1376303354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13346 OCEAN MIST DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585204",
            "telephone_number": "407-388-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 S WALNUT ST STE 1400",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320914426",
            "telephone_number": "407-388-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGP PHARMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "GHOBRIAL",
        "authorized_official_first_name": "SANDI",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "407-388-8997",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.