Active NPI
Surette S Sands I
- Pharmacist
- Hollywood, FL
National Provider Identifier
1689863979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24167
- Practice address
- 3868 Sheridan St Ste a
Hollywood, FL 33021-3623 - Phone
- (954) 987-5253
- NPI assigned
- Oct 23, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24167 | FL | Primary |
Addresses
Primary practice location
3868 Sheridan St Ste a
Hollywood, FL 33021-3623
Mailing address
9441 SW 20TH St
Miramar, FL 33025-4731
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24167 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193097600000",
"number": "1689863979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9441 SW 20TH ST",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330254731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3868 SHERIDAN ST STE A",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213623",
"telephone_number": "954-987-5253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDS",
"first_name": "SURETTE",
"middle_name": "S",
"name_suffix": "I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-23",
"last_updated": "2007-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "24167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.