Active NPI
Carl Carrasquillo, PHARMACIST
- Pharmacist
- Sanford, FL
National Provider Identifier
1881296549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26691
- Practice address
- 3653 S Orlando Dr
Sanford, FL 32773-5611 - Phone
- (407) 321-7610
- NPI assigned
- Nov 9, 2020
- 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 | 26691 | FL | Primary |
Addresses
Primary practice location
3653 S Orlando Dr
Sanford, FL 32773-5611
Mailing address
198 Eastside LN
Osteen, FL 32764-9428
Phone (386) 717-5426
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26691 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604880000000",
"number": "1881296549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 EASTSIDE LN",
"city": "OSTEEN",
"state": "FL",
"postal_code": "327649428",
"telephone_number": "386-717-5426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3653 S ORLANDO DR",
"city": "SANFORD",
"state": "FL",
"postal_code": "327735611",
"telephone_number": "407-321-7610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRASQUILLO",
"first_name": "CARL",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-09",
"last_updated": "2020-11-09",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "26691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.