Unknown Individual – Pharmacist, NPI 1003036864

Unknown Individual is a healthcare provider. based in Estero, Florida. specializing in Pharmacist. They hold a License No. 0202006174 (VA). The NPI Number for Unknown Individual is 1003036864

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1003036864
Phone
(239) 495-2969
Address
11462 PEMBROOK RUN
Deactivation Date
17 July 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 11462 PEMBROOK RUN

    ESTERO, FL 339283251

    Phone: (239) 495-2969

    Type: Mailing

  • 20311 GRANDE OAKS SHOPPES BLVD

    ESTERO, FL 33928

    Phone: (239) 495-9013

    Fax: (239) 495-7638

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33928)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1003036864.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
Pharmacist is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Estero, Florida may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.