Active NPI
Patient Care Pharmacy Services, Inc.
- Durable Medical Equipment & Medical Supplies
- Port Charlotte, FL
National Provider Identifier
1194740902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- PH 17469
- Legal business name
- PATIENT CARE PHARMACY SERVICES, INC.
- Doing business as
- Patient Care Vital Care
- Practice address
- 1476 Market Cir
Ste a
Port Charlotte, FL 33953-3876 - Phone
- (941) 473-3200
- Fax
- (941) 473-3209
- NPI assigned
- Jul 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael F Klein
- Title
- President
- Phone
- (941) 473-3200
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PH 17469 | FL | Primary |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | PH 17469 | FL | |
| Pharmacy | 333600000X | PH 17469 | FL | |
| Community/Retail Pharmacy | 3336C0003X | PH17469 | FL | |
| Home Infusion Therapy Pharmacy | 3336H0001X | PH 17469 | FL | |
| Long Term Care Pharmacy | 3336L0003X | PH17469 | FL | |
| Mail Order Pharmacy | 3336M0002X | PH17469 | FL | |
| Specialty Pharmacy | 3336S0011X | PH17469 | FL |
Addresses
Primary practice location
1476 Market Cir
Ste a
Port Charlotte, FL 33953-3876
Mailing address
PO Box 5047
Meridian, MS 39302-5047
Phone (800) 447-4095
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022734000 | Medicaid | FL | |
| 022734001 | Medicaid | FL |
Other names 1
- Patient Care Vital Care
National Provider Directory
National Provider DirectoryLocations
1476 Market Cir
Ste A
Port Charlotte, FL 33953
Phone (941) 473-3200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254873600000",
"number": "1194740902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5047",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393025047",
"telephone_number": "800-447-4095",
"fax_number": "601-482-7490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1476 MARKET CIR",
"address_2": "STE A",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339533876",
"telephone_number": "941-473-3200",
"fax_number": "941-473-3209"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATIENT CARE PHARMACY SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-13",
"last_updated": "2009-10-07",
"status": "A",
"authorized_official_last_name": "KLEIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "941-473-3200"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": "PH 17469",
"primary": true
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "FL",
"license": "PH 17469",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "FL",
"license": "PH 17469",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH17469",
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "FL",
"license": "PH 17469",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "FL",
"license": "PH17469",
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": "FL",
"license": "PH17469",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "FL",
"license": "PH17469",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022734000",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022734001",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Patient Care Vital Care",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.