Active NPI
Irene Lopes Sunderman, RPH
- Pharmacist
- Largo, FL
National Provider Identifier
1912501826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 30872
- Practice address
- 13998 Walsingham Rd
Largo, FL 33774-3224 - Phone
- (727) 595-2521
- Fax
- (727) 596-8046
- NPI assigned
- Nov 23, 2020
- Last updated
- Nov 23, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 30872 | FL | Primary |
Addresses
Primary practice location
13998 Walsingham Rd
Largo, FL 33774-3224
Mailing address
13998 Walsingham Rd
Largo, FL 33774
Phone (727) 595-2521
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 |
|---|---|---|---|
| 30872 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | Past | Accepting new patients | |
| Holiday CVS LLC | 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": "1606089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1912501826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13998 WALSINGHAM RD",
"city": "LARGO",
"state": "FL",
"postal_code": "33774",
"telephone_number": "727-595-2521",
"fax_number": "727-596-8046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13998 WALSINGHAM RD",
"city": "LARGO",
"state": "FL",
"postal_code": "337743224",
"telephone_number": "727-595-2521",
"fax_number": "727-596-8046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNDERMAN",
"first_name": "IRENE",
"middle_name": "LOPES",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-23",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "30872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Largo, FL
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- Suncoast Sports and Orthopedic Therapy, Inc (Next Step Rehabilitation)
- Sunray Medical Supply, Inc.
- Sunrise Health, Inc
- Sunshine Bracing Solutions Inc
- Sunshine Days, LLC
- Sunshine Eye Care Solutions, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.