Unknown Individual – Pharmacist, NPI 1174642243

Unknown Individual is a healthcare provider. based in Stuart, Florida. specializing in Pharmacist. They hold a License No. PS10919 (FL). The NPI Number for Unknown Individual is 1174642243

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1174642243
Phone
(772) 781-6426
Address
1100 SW TAMARROW PL
Deactivation Date
15 November 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1100 SW TAMARROW PL

    STUART, FL 349977176

    Phone: (772) 781-6426

    Type: Mailing

  • 3246 US HIGHWAY 441 S

    OKEECHOBEE, FL 349746239

    Phone: (863) 763-2313

    Fax: (863) 467-7205

    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.

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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 34997)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1174642243.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Pharmacist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Stuart, Florida in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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