Organization Active NPI

Charlotte Heart Pharmacy LLC

  • Pharmacist
  • Port Charlotte, FL
National Provider Identifier
1154632883
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
CHARLOTTE HEART PHARMACY LLC
Practice address
3340 Tamiami TRL
Port Charlotte, FL 33952-8088
Phone
(941) 613-0334
Fax
(941) 613-1300
NPI assigned
Jun 28, 2010
Organization subpart
Yes
Parent organization
CHARLOTTE HEART & VASCULAR INSTITUTEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Authorized official

Name
Dr. Mario Lopez, MD
Title
President
Phone
(941) 764-5858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X FL Primary

Addresses

Primary practice location

3340 Tamiami TRL
Port Charlotte, FL 33952-8088

Mailing address

3340 Tamiami TRL
Port Charlotte, FL 33952-8088
Phone (941) 764-5858

National Provider Directory

National Provider Directory
Part of
Charlotte Heart Vascu

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1154632883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 TAMIAMI TRL",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528088",
            "telephone_number": "941-764-5858",
            "fax_number": "941-764-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 TAMIAMI TRL",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528088",
            "telephone_number": "941-613-0334",
            "fax_number": "941-613-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE HEART PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLOTTE HEART & VASCULAR INSTITUTE",
        "enumeration_date": "2010-06-28",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-764-5858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.