Active NPI
Sandra Charlotte Applegarth, PHARM D
- Pharmacist
- Daytona Beach, FL
National Provider Identifier
1831787316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS43038
- Practice address
- CVS 05912
1891 Lpga Blvd.
Daytona Beach, FL 32117 - Phone
- (386) 274-1490
- NPI assigned
- Jan 9, 2021
- Last updated
- Jan 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | PS43038 | FL | Primary |
Addresses
Primary practice location
CVS 05912
1891 Lpga Blvd.
Daytona Beach, FL 32117
Mailing address
193 Royal Dunes Blvd
Ormond Beach, FL 32176-4740
Phone (386) 882-8823
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS43038 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610150400000",
"number": "1831787316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "193 ROYAL DUNES BLVD",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321764740",
"telephone_number": "386-882-8823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CVS 05912",
"address_2": "1891 LPGA BLVD.",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "32117",
"telephone_number": "386-274-1490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APPLEGARTH",
"first_name": "SANDRA",
"middle_name": "CHARLOTTE",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-09",
"last_updated": "2021-01-09",
"certification_date": "2021-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS43038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.