Unknown Individual – Geriatric Pharmacist, NPI 1679579494

Unknown Individual is a healthcare provider. based in Sebastian, Florida. specializing in Geriatric Pharmacist. They hold a License No. PS17894 (FL). The NPI Number for Unknown Individual is 1679579494

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1679579494
Phone
(772) 581-5355
Address
28 SUNSET DR
Deactivation Date
10 August 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 28, Sunset Drive, Fort Smith, Sebastian County, Arkansas, 72901, United States

    SEBASTIAN, FL 329583517

    Phone: (772) 581-5355

    Fax: (772) 581-5893

    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.

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 32958)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1679579494 uniquely identifies Unknown Individual in U.S. healthcare data.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Geriatric Pharmacist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Sebastian, Florida?
For routing, start with Sebastian, Florida for Unknown Individual, then verify phone and hours locally.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.