Suntree Medical Equipment LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PH22488 Issued in FL

Legal business name

SUNTREE MEDICAL EQUIPMENT LLC

Practice address

7640 N Wickham Rd Ste 116
Melbourne, FL 32940-8147

Phone

(321) 259-3400

Fax

(321) 253-3119

NPI assigned

Sep 14, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Diahn ClarkNPI 1003965765

Title

Owner

Phone

(321) 259-3400

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Suntree Medical Equipment LLC Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diahn L Clark, PHARMD, JD

  • Pharmacist
  • Melbourne, FL
  • NPI 1003965765
  NPD Authorized official
• Maria R Escobedo, RPHT

  • Pharmacy Technician
  • Melbourne, FL
  • NPI 1093095267
  NPD (past)
• Delores A Hawk, CRTT

  • Home Health Certified Respiratory Therapist
  • Melbourne, FL
  • NPI 1093975468
  NPD (past)
• Lisa G Lester, CRT

  • Certified Respiratory Therapist
  • Melbourne, FL
  • NPI 1013121227
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1972608719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7640 N WICKHAM RD",
            "address_2": "SUITE 116",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408146",
            "telephone_number": "321-259-3400",
            "fax_number": "321-253-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 N WICKHAM RD STE 116",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408147",
            "telephone_number": "321-259-3400",
            "fax_number": "321-253-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNTREE MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DIAHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-259-3400"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH22488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2120023",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suntree Medical Equipment LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William R Sunter Jr., MD
• Suntree Behavior Analysis, LLC
• Suntree Diagnostic Center
• Suntree Endocrinology
• Suntree Internal Medicine, LLC.
• Suntree Pharmacy
• Suntree Psychiatry Inc
• Jessica Rose Super, MOT
• Superior Home Health Care Services, Inc
• Superior Home Health Care Sevices, Inc.

• Long Term Care Pharmacy in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Long Term Care Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.