Active NPI
Kathleen Sutherland, RPH, BS
- Pharmacist
- Punta Gorda, FL
National Provider Identifier
1447459391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS38205
- Practice address
- 4478 Tamiami TRL
Punta Gorda, FL 33980-2931 - Phone
- (941) 235-1120
- Fax
- (941) 235-1853
- NPI assigned
- Jul 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS38205 | FL | Primary |
| Pharmacist | 183500000X | RPH04074 | RI |
Addresses
Primary practice location
4478 Tamiami TRL
Punta Gorda, FL 33980-2931
Mailing address
4478 Tamiami TRL
Punta Gorda, FL 33980-2931
Phone (941) 235-1120
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
- Bachelor of Science, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS38205 | FL | MD | Pharmacist |
| RPH04074 | RI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | Past | Accepting new patients | |
| Holiday CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Wesley Chapel, FL
- NPI 1770467466
-
- Pharmacy
- Port Charlotte, FL
- NPI 1639407596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318550400000",
"number": "1447459391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4478 TAMIAMI TRL",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339802931",
"telephone_number": "941-235-1120",
"fax_number": "941-235-1853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4478 TAMIAMI TRL",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339802931",
"telephone_number": "941-235-1120",
"fax_number": "941-235-1853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTHERLAND",
"first_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "RPH, BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-12",
"last_updated": "2011-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS38205",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "RI",
"license": "RPH04074",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Punta Gorda, FL
- Suncoast Neuropsychiatric Wellness Center LLC
- Sunny Days Behavior Therapy LLC
- Sunrise Wellness & Family Practice
- Wesley Whiton Sunter, PHARMD
- Ginou Supre
- Sutter J. Caton, P.T., LLC
- SW Florida Cardiovascular Institute PLLC
- SWFL Scientific Rejuvenation LLC
- Sarah R. Swiatek, PHARM.D.
- Synergic Healthcare Solutions LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.