Organization Active NPI

Fitte Enterprises, Inc.

  • Community/Retail Pharmacy
  • Punta Gorda, FL
National Provider Identifier
1215234075
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH25093 Issued in FL
Legal business name
FITTE ENTERPRISES, INC.
Doing business as
CRD Medservices, LLC.
Practice address
29291 Tribune Blvd
Unit 2-3
Punta Gorda, FL 33955-2216
Phone
(941) 575-2407
Fax
(941) 575-4820
NPI assigned
Feb 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Authorized official

Name
John Mark Fitte
Title
Owner
Phone
(757) 343-9649

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH25093 FL Primary

Addresses

Primary practice location

29291 Tribune Blvd
Unit 2-3
Punta Gorda, FL 33955-2216

Mailing address

29291 Tribune Blvd
Unit 2-3
Punta Gorda, FL 33955-2216
Phone (941) 575-2407

Other identifiers 1

IdentifierTypeStateIssuer
5704071OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • CRD Medservices, LLC. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CRD Medservices LLC2 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.

Locations

29291 Tribune Blvd
Unit 23
Punta Gorda, FL 33955
Phone (941) 575-2407

NPI Registry JSON

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1215234075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29291 TRIBUNE BLVD",
            "address_2": "UNIT 2-3",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339552216",
            "telephone_number": "941-575-2407",
            "fax_number": "941-575-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29291 TRIBUNE BLVD",
            "address_2": "UNIT 2-3",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339552216",
            "telephone_number": "941-575-2407",
            "fax_number": "941-575-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITTE ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "FITTE",
        "authorized_official_first_name": "JOHN MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-343-9649"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5704071",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRD Medservices, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.