Active NPI
Sunshine Pharmacy of Sanford LLC
- Pharmacy
- Sanford, FL
National Provider Identifier
1871009258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 30945
- Legal business name
- SUNSHINE PHARMACY OF SANFORD LLC
- Practice address
- 5040 Sr 46 Ste 1126
Sanford, FL 32771-9252 - Phone
- (407) 590-1914
- NPI assigned
- Dec 20, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Sodhi S Sodhi, RPH
- Title
- Owner
- Phone
- (407) 878-4272
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | |||
| Pharmacy | 333600000X | 30945 | FL | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
5040 Sr 46 Ste 1126
Sanford, FL 32771-9252
Mailing address
5040 Sr 46 Ste 1126
Sanford, FL 32771-9252
Phone (407) 590-1914
Other names 1
- sunshine pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241008004246 | FL | Part B Supplier - Pharmacy | 6406387901 | Practice locations: Sanford, FL |
National Provider Directory
National Provider DirectoryLocations
5040 W State Road 46
Ste 1126
Sanford, FL 32771
Phone (407) 590-1914
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Sanford, FL
- NPI 1821521642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567641600000",
"number": "1871009258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5040 SR 46 STE 1126",
"city": "SANFORD",
"state": "FL",
"postal_code": "327719252",
"telephone_number": "407-590-1914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5040 SR 46 STE 1126",
"city": "SANFORD",
"state": "FL",
"postal_code": "327719252",
"telephone_number": "407-590-1914"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNSHINE PHARMACY OF SANFORD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-20",
"last_updated": "2019-09-05",
"status": "A",
"authorized_official_last_name": "SODHI",
"authorized_official_first_name": "SODHI",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-878-4272",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "FL",
"license": "30945",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "sunshine pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.