Organization Active NPI

Infusion Systems PC

  • Community/Retail Pharmacy
  • Port Charlotte, FL
National Provider Identifier
1023024635
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH13654 Issued in FL
Legal business name
INFUSION SYSTEMS PC
Practice address
3890 Tamiami TRL
Ste C
Port Charlotte, FL 33952-8401
Phone
(941) 629-7784
Fax
(941) 627-4369
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

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

Authorized official

Name
Jeff Steele
Title
VP
Phone
(941) 629-4666

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH13654 FL Primary

Addresses

Primary practice location

3890 Tamiami TRL
Ste C
Port Charlotte, FL 33952-8401

Mailing address

3890 Tamiami TRL
Ste C
Port Charlotte, FL 33952-8401
Phone (941) 629-7784

Other identifiers 2

IdentifierTypeStateIssuer
1041540OtherNCPDP PROVIDER IDENTIFICATION NUMBER
104862700MedicaidFL

Other names 1

  • GENES PRESCRIPTION SHOP Doing business as

National Provider Directory

National Provider Directory

Locations

3890 Tamiami Trl
Ste C
Port Charlotte, FL 33952
Phone (941) 629-7784

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268352000000",
    "number": "1023024635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 TAMIAMI TRL",
            "address_2": "STE C",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528401",
            "telephone_number": "941-629-7784",
            "fax_number": "941-627-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 TAMIAMI TRL",
            "address_2": "STE C",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528401",
            "telephone_number": "941-629-7784",
            "fax_number": "941-627-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFUSION SYSTEMS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2010-03-12",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "941-629-4666"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH13654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1041540",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104862700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GENES PRESCRIPTION SHOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; 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.