NPIMap

Organization Active NPI

Sunrise RX Pharmacy

  • Community/Retail Pharmacy
  • Fort Myers, FL
National Provider Identifier
1376800367
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH26151 Issued in FL
Legal business name
SUNRISE RX PHARMACY
Practice address
2336 Cleveland Ave
Fort Myers, FL 33901-3540
Phone
(239) 288-7450
Fax
(239) 288-7451
NPI assigned
Apr 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Authorized official

Name
Elier Gonzalez Martinez
Title
President/ Owner
Phone
(239) 288-7450

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH26151 FL Primary
Compounding Pharmacy 3336C0004X
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

2336 Cleveland Ave
Fort Myers, FL 33901-3540

Mailing address

2336 Cleveland Ave
Fort Myers, FL 33901-3540
Phone (239) 288-7450

Other identifiers 2

IdentifierTypeStateIssuer
2135241OtherPK
006433900MedicaidFL

Other names 1

  • Sunrise Rx Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1376800367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 CLEVELAND AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339013540",
            "telephone_number": "239-288-7450",
            "fax_number": "239-288-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 CLEVELAND AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339013540",
            "telephone_number": "239-288-7450",
            "fax_number": "239-288-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE RX PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ MARTINEZ",
        "authorized_official_first_name": "ELIER",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "239-288-7450"
    },
    "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": "PH26151",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135241",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006433900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Rx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.