| NPI | 1245479161 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2009-02-17 |
| Last Updated | 2025-06-17 |
| Authorized Official | Patricia Fosu MANAGER/OWNER Phone: 8638744834 |
| Mailing Address | 104 Commonwealth Ave N Ste 1 Polk City, FL 33868-9500 United States Phone: (863) 874-4834 | Fax: (863) 874-4837 📍 View Map |
| Primary Practice Address | 104 Commonwealth Ave N Ste 1 Polk City, FL 33868-9500 United States Phone: (863) 874-4834 | Fax: (863) 874-4837 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | FL | 003331100 | - |
| Other (non-Medicare) | - | 2119995 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | FL | PH23777 |
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About NPI 1245479161
Sunshine Pharmacy Services Ltd Co is an organization registered in the CMS NPPES NPI Registry with NPI number 1245479161. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Polk City, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-02-17. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1245479161?
NPI 1245479161 belongs to Sunshine Pharmacy Services Ltd Co, a Pharmacy, Community/Retail Pharmacy in Polk City, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1245479161 active?
The current status of NPI 1245479161 in the NPPES registry is Active. The record was last updated on 2025-06-17.
What specialty is NPI 1245479161?
NPI 1245479161 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1245479161?
You can verify NPI 1245479161 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1245479161?
The primary practice address on file for NPI 1245479161 is 104 Commonwealth Ave N Ste 1, Polk City, FL 33868-9500. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1245479161 issued?
NPI 1245479161 was first issued (enumerated) on 2009-02-17. The NPPES record was last updated on 2025-06-17.
Practice Location Map
Sunshine Pharmacy Services Ltd Co is located at 104 Commonwealth Ave N Ste 1, Polk City, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Sunshine Pharmacy Services Ltd Co. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1245479161. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | PH23777 | FL |