Sunshine State Pharmacy – Community/Retail Pharmacy, NPI 1487605093

Sunshine State Pharmacy is a healthcare provider. based in Coral springs, Florida. specializing in Community/Retail Pharmacy. The organization holds a License No. PH25775 (FL). The NPI Number for Sunshine State Pharmacy is 1487605093

Main info

Organization
Name
Sunshine State Pharmacy
NPI
1487605093
Phone
(954) 346-7759
Address
10301 W SAMPLE RD
Authorized Official
MS. ROBIN L MENCHEN CHIEF EXECUTIVE OFFICER
Enumeration Date
16 May 2006
Last Update Date
26 February 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Sunshine State Pharmacy

  • 10301, West Sample Road, Coral Springs, Broward County, Florida, 33065, United States

    CORAL SPRINGS, FL 330653941

    Phone: (954) 346-7759

    Fax: (954) 757-2653

    Mailing address matches the actual address.

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-09-30 (623 days ago).

Enrollment records

2

Earliest due date

2024-09-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100930053875OPharmacyFL2026-05-31
O20190131000759OPharmacyFL2024-09-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

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 33065)

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Reviews

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Frequently asked questions

Does Sunshine State Pharmacy share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Sunshine State Pharmacy uses 1487605093.
Is Sunshine State Pharmacy still practicing?
Sunshine State Pharmacy is currently listed as active in the public NPI registry.
What is Sunshine State Pharmacy best known for clinically?
Directory data describes Sunshine State Pharmacy with Community/Retail Pharmacy. Clinical services aligned with this taxonomy classification.
What area does Sunshine State Pharmacy serve?
Sunshine State Pharmacy's listing highlights Coral Springs, Florida; more addresses can appear in NPPES.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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