Guardian Pharmacy of Southwest Florida LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

GUARDIAN PHARMACY OF SOUTHWEST FLORIDA LLC

Practice address

6060 Collier Blvd BLDG 2
Naples, FL 34114-3981

Phone

(239) 799-2388

Fax

(239) 799-2389

NPI assigned

Nov 25, 2024

Organization subpart

No

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

Authorized official

Name

Jay Mandra

Title

President

Phone

(239) 799-2388

Specialties & licenses 3

Addresses

Other names 1

• Guardian Pharmacy of Naples Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Guardian Pharmacy of Southwest Florida LLC

  • Long Term Care Pharmacy
  • North Port, FL
  • NPI 1285024125

  O20160114002675

  Same enrollment

Tax ID family

Guardian Pharmacy of Naples2 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.

• Guardian Pharmacy of Southwest Florida LLC

  • Long Term Care Pharmacy
  • North Port, FL
  • NPI 1285024125
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Guardian Pharmacy of Southeast Florida LLC

  • Long Term Care Pharmacy
  • Boca Raton, FL
  • NPI 1851453468

  Member Of

  NPD member

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Candice Chantracy Tatum

  • Pharmacist
  • North Port, FL
  • NPI 1235375338
  NPD (past)

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1154147015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 COLLIER BLVD BLDG 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341143981",
            "telephone_number": "239-799-2388",
            "fax_number": "239-799-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 COLLIER BLVD BLDG 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341143981",
            "telephone_number": "239-799-2388",
            "fax_number": "239-799-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN PHARMACY OF SOUTHWEST FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "MANDRA",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-799-2388"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://guardianpharmacyflorida.com/",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "6060 Collier Blvd Bldg 2",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341143981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Guardian Pharmacy of Naples",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Growth for Kids, LLC Dba Karen Davis
• William E Grubbs Jr., MD
• Suzanne Grucci, MS, CCC-SLP
• Elizabeth McCutcheon Casey Guadagni, MD, DMD
• Guardian of Hope Senior Home, LLC
• Susan Alicia Guarino
• Robert I Guda, OD
• Jeffrey Scott Gudes, D.O.
• Kavitha Gudur, MD
• Ana L. Guemes, PA

• Long Term Care Pharmacy in Naples, FL
• Providers in Naples, 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 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.