Siby Thomas Puthenpurayil, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS42494 Issued in FL

Practice address

2801 13TH St
Saint Cloud, FL 34769-4134

Phone

(407) 593-2959

Fax

(407) 593-2957

NPI assigned

Mar 8, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mango Wellness LLC

  dba Mangowellness

  • Multi-Specialty Clinic/Center
  • Saint Cloud, FL
  • NPI 1912570987
  NPD Authorized official
• Saint Cloud Pharmacy and Wellness Center Inc

  dba St. Cloud Pharmacy & Wellness Center

  • Pharmacy
  • Saint Cloud, FL
  • NPI 1396043261
  NPD (past) Authorized official
• St.Cloud Pharmacy & Wellness Center

  dba St Cloud Compounding Pharmacy & Wellness Center

  • Home Infusion Therapy Pharmacy
  • Saint Cloud, FL
  • NPI 1407440290
  Authorized official Same address or phone
• Direct Care Pharmacy, LLC

  • Long Term Care Pharmacy
  • Saint Cloud, FL
  • NPI 1326619529
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1003181033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 13TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694134",
            "telephone_number": "407-593-2959",
            "fax_number": "407-593-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 13TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694134",
            "telephone_number": "407-593-2959",
            "fax_number": "407-593-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTHENPURAYIL",
        "first_name": "SIBY",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-08",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "FL",
            "license": "PS42494",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS42494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00356500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Publix Super Markets Inc (Publix Pharmacy #1216)
• Publix Super Markets, Inc. (Publix Pharmacy #1850)
• Virtudes Puello
• Ingrid Pujol, ED.S.
• Puravita IV Lounge, LLC (CDF Clinic)
• Quality Direct Care LLC
• Quality Therapy & Seniors Fitness Center LLC
• Kenya Quiala
• Barbara Jean Quick, ARNP
• Victor D Quinones, PA-C

• Pharmacist in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.