Active NPI
Mithin Padinjath
- Pharmacist
- Lithia, FL
National Provider Identifier
1205430956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS56266
- Practice address
- 17602 Buckingham Garden Dr
Lithia, FL 33547-4333 - Phone
- (336) 290-3056
- NPI assigned
- Nov 24, 2020
- Last updated
- Feb 11, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS56266 | FL | Primary |
Addresses
Primary practice location
17602 Buckingham Garden Dr
Lithia, FL 33547-4333
Mailing address
17602 Buckingham Garden Dr
Lithia, FL 33547-4333
Phone (336) 290-3056
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS56266 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707609600000",
"number": "1205430956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17602 BUCKINGHAM GARDEN DR",
"city": "LITHIA",
"state": "FL",
"postal_code": "335474333",
"telephone_number": "336-290-3056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17602 BUCKINGHAM GARDEN DR",
"city": "LITHIA",
"state": "FL",
"postal_code": "335474333",
"telephone_number": "336-290-3056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADINJATH",
"first_name": "MITHIN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-24",
"last_updated": "2024-02-11",
"certification_date": "2024-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS56266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lithia, FL
- Orthopaedic Development Partners LLC (Orthopaedic Medical Group Surgery Center)
- Orthopaedic Medical Group of Tampa Bay PA
- Emily Ann Ostrowski, M.D.
- OT Rehab Solutions LLC
- Ann Mathew Padikkan
- Frances Noemi Pagan Martinez
- Adam Pakiela, BCBA
- Adrienne Jade Palacios
- Claudia Palacios, COTA/L
- Julia Papesch
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.