Active NPI
Guardian Pharmacy of Southwest Florida LLC
Doing business as Patient Care Pharmacy Services
- Long Term Care Pharmacy
- North Port, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PH28854
- Legal business name
- GUARDIAN PHARMACY OF SOUTHWEST FLORIDA LLC
- Doing business as
- Patient Care Pharmacy Services
- Practice address
- 4873 Plantation Blvd.
North Port, FL 34289-9503 - Phone
- (941) 255-1987
- Fax
- (941) 629-5507
- NPI assigned
- Jan 30, 2015
- Last updated
- Aug 27, 2021
- 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
- Mike Klein
- Title
- President
- Phone
- (941) 255-1987
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Long Term Care Pharmacy | 3336L0003X | PH28854 | FL | Primary |
Addresses
Primary practice location
4873 Plantation Blvd.
North Port, FL 34289-9503
Mailing address
PO Box 11407
Dept #2464
Birmingham, AL 35246-2464
Phone (404) 554-1647
Other practice location 1
24451 Sandhill Blvd
Punta Gorda, FL 33983-5214
Phone (941) 255-1987
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014310700 | Medicaid | FL | |
| 2150227 | Other | PK |
Other names 1
- Patient Care Pharmacy Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150528000361 | FL | DME Supplier - Pharmacy | 9537489893 | Practice locations: North Port, FL |
| O20160114002675 | FL | Part B Supplier - Mass Immunization (Roster Biller Only) | 9537489893 |
1 other NPI on this enrollment Practice locations: Naples, FL; North Port, FL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Guardian Pharmacy of Naples
- Long Term Care Pharmacy
- Naples, FL
- NPI 1154147015
O20160114002675
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Guardian Pharmacy of Southwest Flor | Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Guardian Pharmacy of Naples
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Guardian Pharmacy of Naples
- Long Term Care Pharmacy
- Naples, FL
- NPI 1154147015
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Guardian Pharmacy of Southeast Florida
- Long Term Care Pharmacy
- Boca Raton, FL
- NPI 1851453468
Member Of
Locations
24451 Sandhill Blvd
Punta Gorda, FL 33983
Phone (941) 255-1987
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- North Port, FL
- NPI 1235375338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630022400000",
"number": "1285024125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11407",
"address_2": "DEPT #2464",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352462464",
"telephone_number": "404-554-1647",
"fax_number": "404-554-1648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4873 PLANTATION BLVD.",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342899503",
"telephone_number": "941-255-1987",
"fax_number": "941-629-5507"
}
],
"practiceLocations": [
{
"address_1": "24451 Sandhill Blvd",
"address_purpose": "LOCATION",
"city": "Punta Gorda",
"state": "FL",
"postal_code": "339835214",
"country_code": "US",
"telephone_number": "941-255-1987",
"fax_number": "941-629-5507",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GUARDIAN PHARMACY OF SOUTHWEST FLORIDA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-30",
"last_updated": "2021-08-27",
"certification_date": "2021-08-10",
"status": "A",
"authorized_official_last_name": "KLEIN",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "941-255-1987"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "FL",
"license": "PH28854",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014310700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2150227",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Patient Care Pharmacy Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in North Port, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.