Active NPI
Victor Leonard Sabarese, RPH
- Pharmacist
- Port Charlotte, FL
National Provider Identifier
1841537487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS36567
- Practice address
- 24128 Green Heron Dr
Port Charlotte, FL 33980-5255 - Phone
- (724) 263-5195
- NPI assigned
- Jan 15, 2013
- Sex
- Male
- 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 | PS36567 | FL | Primary |
Addresses
Primary practice location
24128 Green Heron Dr
Port Charlotte, FL 33980-5255
Mailing address
24128 Green Heron Dr
Port Charlotte, FL 33980-5255
Phone (724) 263-5195
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS36567 | Other | FL | PHARMACIST LICENSE |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS36567 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358208000000",
"number": "1841537487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24128 GREEN HERON DR",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339805255",
"telephone_number": "724-263-5195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24128 GREEN HERON DR",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339805255",
"telephone_number": "724-263-5195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABARESE",
"first_name": "VICTOR",
"middle_name": "LEONARD",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-15",
"last_updated": "2013-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS36567",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "PS36567",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.