Target

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PS52276 Issued in FL

Legal business name

TARGET

Practice address

10000 Gulf Center Dr
Fort Myers, FL 33913-8961

Phone

(239) 432-2818

NPI assigned

Aug 1, 2014

Organization subpart

No

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

Authorized official

Name

Dr. James Patrick Polk, PHARMD

Title

Pharmacist

Phone

(337) 802-8139

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1306254495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 GULF CENTER DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138961",
            "telephone_number": "239-432-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 GULF CENTER DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138961",
            "telephone_number": "239-432-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "337-802-8139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PS52276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daryl Robert Tanski, MD
• Panee Tantranond, M.D.
• Angela Maria Tapia, M.D.
• Melanie Tarabay, PA-C
• Lory Ann Taraborelli
• Monica Tarnawski Iriza, OD
• Brian C Taschner, MD
• Jennifer F. Taschner, DDS, MMSC
• Ronny S. Taschner, D.D.S.
• Karen Gayle Tasman, ARNP

• Community/Retail Pharmacy in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.