Mahant Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

MAHANT PHARMACY INC

Practice address

1550 SE Floresta Dr
Port St Lucie, FL 34983-4069

Phone

(772) 340-4142

Fax

(772) 785-5753

NPI assigned

Nov 1, 2024

Organization subpart

No

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

Authorized official

Name

Urmil Shah

Title

VP

Phone

(772) 340-4142

Specialties & licenses 1

Addresses

Other names 1

• FLORESTA PHARMACY Doing business as

Tax ID family

Floresta Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mahant Pharmacy Inc

  • Pharmacy
  • Port St Lucie, FL
  • NPI 1063257749
  NPD tax ID

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1083437776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 SE FLORESTA DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349834069",
            "telephone_number": "772-340-4142",
            "fax_number": "772-785-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 SE FLORESTA DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349834069",
            "telephone_number": "772-340-4142",
            "fax_number": "772-785-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHANT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "URMIL",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "772-340-4142"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLORESTA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keith Ryan Madonia, PT
• Tatiana C Madonia, PT
• Cecelia Mary Magaw
• Magda Care Services LLC
• Mahant Pharmacy Inc
• Mahant Pharmacy Inc
• J Paul Mahfood, MD
• Brendan Lawrence Mahoney, MD
• Jordan Taylor Mahoney, PA-C
• Lilian Daniela Mairena, PA

• Long Term Care Pharmacy in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Long Term Care Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.

Verify at the official NPI Registry.