Active NPI
Anthony Steven Maltais
- Pharmacist
- Bonita Springs, FL
National Provider Identifier
1073375796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 66705
- Practice address
- 25091 S Tamiami TRL
Bonita Springs, FL 34134-7804 - Phone
- (239) 948-7532
- NPI assigned
- Jan 29, 2024
- Last updated
- Jan 29, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 66705 | FL | Primary |
Addresses
Primary practice location
25091 S Tamiami TRL
Bonita Springs, FL 34134-7804
Mailing address
25091 S Tamiami TRL
Bonita Springs, FL 34134-7804
Phone (239) 948-7532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66705 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1073375796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25091 S TAMIAMI TRL",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341347804",
"telephone_number": "239-948-7532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25091 S TAMIAMI TRL",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341347804",
"telephone_number": "239-948-7532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALTAIS",
"first_name": "ANTHONY",
"middle_name": "STEVEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-29",
"last_updated": "2024-01-29",
"certification_date": "2024-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "66705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bonita Springs, FL
- Benjamin Franklin Lyons, ATC, LAT, CSCS
- M&J Compassionate Services LLC
- Larisa Igorevna Macedo, DMD
- Frank Patrick Macias, PHARMD
- Madison American Bonita Springs TRS I, LLC (American House Bonita)
- Robert Vincent Mandraccia, MD
- Grace Anne Mangione
- Denise L Manzo, HIS
- Maple Tree Home Health, Inc.
- Marciano Dental Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.