Adventist Health System-Sunbelt Inc
Organization Active NPI Community/Retail Pharmacy · Sebring, FL
NPI 1770087355 · NPPES record last updated Jan 31, 2023
Key facts
- NPI
- 1770087355
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PH31269 (FL)
- Legal business name
- ADVENTIST HEALTH SYSTEM-SUNBELT INC
- Practice address
- 4200 Sun N Lake Blvd
Sebring, FL 33872-1986 - Phone
- (863) 402-3418
- NPI assigned
- Mar 20, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVENTIST HEALTH SYSTEM-SUNBELT INC
Authorized official
- Name
- Nathan Thomason
- Title
- Cfo
- Phone
- (863) 402-3366
Other NPIs with the same Medicare PAC ID 7
Practitioners 100
-
Rey Francisco Arcenas, M.D.
-
Smriti Banthia, M.D.
-
Deepti Bhandare, MD
-
David Justin Blalock, ARNP
-
Kristen Green Bloodworth, APRN, FNP- C
-
Rebecca L Bowden, D.O.
-
Carlos A. Carrillo, M.D.
-
Dianna L Chizmas, ARNP
-
Keith O Coker, PA
-
Brittany Davidson, FNP-C
-
Nicole Elaine Davis, MD, PHARMD
-
Terrence Delikat, DO
-
Roberto J Diaz, MD
-
Shayan Faiq, M.D.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Adventist Health System-Sunbelt Inc |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180710000959 | FL | DME Supplier - Pharmacy | 0749232445 | Practice locations: Sebring, FL |
National Provider Directory
- Part of
- Erick Calderon MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PH31269 | FL | Yes |
| Mail Order Pharmacy | 3336M0002X |
Addresses
Primary practice location
4200 Sun N Lake Blvd
Sebring, FL 33872-1986
Mailing address
4200 Sun N Lake Blvd
Sebring, FL 33872-1986
Phone (863) 402-3250
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024943700 | Medicaid | FL |
Other names
- ADVENTHEALTH PHARMACY SEBRING
Other providers in Sebring, FL
- Adventist Health System-Sunbelt Inc
- Adventist Health System-Sunbelt Inc
- Adventist Health System-Sunbelt Inc
- Adventist Health System-Sunbelt Inc
- Adventist Health System-Sunbelt Inc
- Adventist Health System-Sunbelt Inc
- Adventist Health System-Sunbelt Inc
- Angelica M Aguilar
- Kristine Joan Abay Aguirre
- Syed Aftab Ahmad
All providers in Sebring, FL · Community/Retail Pharmacy in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.