Organization Active NPI

Choice Meds USA Inc

  • Community/Retail Pharmacy
  • Winter Haven, FL
National Provider Identifier
1053685305
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH25972 Issued in FL
Legal business name
CHOICE MEDS USA INC
Doing business as
Choice Meds USA INC
Practice address
350 1St St N
Winter Haven, FL 33881-4113
Phone
(863) 271-8441
Fax
(863) 271-8443
NPI assigned
Mar 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Sandeep Mathow, PHARM D
Title
Founder / Ceo
Phone
(407) 617-6059

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH25972 FL Primary

Addresses

Primary practice location

350 1St St N
Winter Haven, FL 33881-4113

Mailing address

5703 Red Bug Lake Rd # 256
Winter Springs, FL 32708-4969
Phone (863) 271-8441

Other identifiers 1

IdentifierTypeStateIssuer
2134065OtherPK

Other names 1

  • Choice Meds USA INC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Choice Meds USA Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

350 1st St N
Winter Haven, FL 33881
Phone (863) 293-8336

NPI Registry JSON

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1053685305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5703 RED BUG LAKE RD # 256",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327084969",
            "telephone_number": "863-271-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 1ST ST N",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814113",
            "telephone_number": "863-271-8441",
            "fax_number": "863-271-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE MEDS USA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "MATHOW",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_title_or_position": "FOUNDER / CEO",
        "authorized_official_telephone_number": "407-617-6059",
        "authorized_official_credential": "PHARM D"
    },
    "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": "PH25972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134065",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Choice Meds USA INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.