Unknown Individual – Pharmacist, NPI 1477886224

Unknown Individual is a healthcare provider. based in Saint augustine, Florida. specializing in Pharmacist. They hold a License No. PS44204 (FL). The NPI Number for Unknown Individual is 1477886224

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1477886224
Phone
(904) 940-5556
Address
5440 SR 16
Deactivation Date
18 February 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

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

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Provider Addresses for Unknown Individual

  • Picolata Road, Saint Augustine, Saint Johns County, Florida, 32084, United States

    SAINT AUGUSTINE, FL 32092

    Phone: (904) 940-5556

    Type: Mailing

  • Super 8 by Wyndham Saint Augustine, 2550, State Road 16, Saint Augustine, Saint Johns County, Florida, 32092, United States

    ST AUGUSTINE, FL 32092

    Phone: (904) 940-5556

    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 32092)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1477886224 on file in the registry.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Pharmacist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Saint Augustine?
Unknown Individual currently maps to Saint Augustine, Florida in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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