Individual provider Active NPI

Chris C Mottram, RPH

  • Pharmacist
  • Sarasota, FL
National Provider Identifier
1154426948
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS19506 Issued in FL
Practice address
24 N Lime Ave
Sarasota, FL 34237-6120
Phone
(941) 366-2424
Fax
(941) 954-6043
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS19506 FL Primary

Addresses

Primary practice location

24 N Lime Ave
Sarasota, FL 34237-6120

Mailing address

24 N Lime Ave
Sarasota, FL 34237-6120
Phone (941) 366-2424

Other identifiers 1

IdentifierTypeStateIssuer
PS0019506OtherFLLICENSE NUMBER

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS19506FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hedges Prescription Shop of Sarasota Inc Current Accepting new patients

Locations

24 N Lime Ave
Sarasota, FL 34237
Phone (941) 366-2424

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1154426948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 N LIME AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376120",
            "telephone_number": "941-366-2424",
            "fax_number": "941-296-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 N LIME AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376120",
            "telephone_number": "941-366-2424",
            "fax_number": "941-954-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTTRAM",
        "first_name": "CHRIS",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS19506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PS0019506",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.