NPIMap

Organization Active NPI

Sunset Pharmacy LLC

  • Long Term Care Pharmacy
  • Fort Myers, FL
National Provider Identifier
1801168034
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PH 24933 Issued in FL
Legal business name
SUNSET PHARMACY LLC
Practice address
4224 Cleveland Ave Ste 5
First Floor
Fort Myers, FL 33901-9051
Phone
(239) 225-6337
Fax
(239) 437-6337
NPI assigned
Feb 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Courtland Twyman
Title
Maning Partner
Phone
(239) 225-6337

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X PH 24933 FL Primary

Addresses

Primary practice location

4224 Cleveland Ave Ste 5
First Floor
Fort Myers, FL 33901-9051

Mailing address

4224 Cleveland Ave Ste 5
Fort Myers, FL 33901-9051
Phone (239) 225-6337

Other identifiers 2

IdentifierTypeStateIssuer
5708966OtherNCPDP PROVIDER IDENTIFICATION NUMBER
003508600MedicaidFL

Other names 1

  • Sunset Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sunset Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1801168034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 CLEVELAND AVE STE 5",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019051",
            "telephone_number": "239-225-6337",
            "fax_number": "239-437-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 CLEVELAND AVE STE 5",
            "address_2": "FIRST FLOOR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019051",
            "telephone_number": "239-225-6337",
            "fax_number": "239-437-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "TWYMAN",
        "authorized_official_first_name": "COURTLAND",
        "authorized_official_title_or_position": "MANING PARTNER",
        "authorized_official_telephone_number": "239-225-6337"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH 24933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5708966",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003508600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunset 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 Mar 20, 2012; 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.