Marco Island Pharmacy 2 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH30812 Issued in FL

Legal business name

MARCO ISLAND PHARMACY 2 LLC

Practice address

5475 Golden Gate Pkwy Ste 5W
Naples, FL 34116-7529

Phone

(239) 315-4823

Fax

(239) 315-4824

NPI assigned

Jun 27, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Orestes Verdura

Title

Manager

Phone

(239) 315-4821

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Golden Gate Pharmacy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rene Coto Borges, M.D.

  • General Practice Physician
  • West Palm Beach, FL
  • NPI 1821407826
  NPD (past)

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1346760683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 GOLDEN GATE PKWY STE 5W",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167529",
            "telephone_number": "239-315-4823",
            "fax_number": "239-315-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 GOLDEN GATE PKWY STE 5W",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167529",
            "telephone_number": "239-315-4823",
            "fax_number": "239-315-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCO ISLAND PHARMACY 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "VERDURA",
        "authorized_official_first_name": "ORESTES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "239-315-4821",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "HCC12895",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH30812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2170086",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Gate Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen Murphy Marc, MD
• Marcee Brown, LLC
• Matthew Marcial, RN
• Alexia Marciano, M.D.
• Philip W Marciano, M.D.
• Maria Ellis, LLC
• Maria F Bendeck DO PL
• Maria M Almeyda DDS PA
• Maria T Vargas MD
• Maria T Vargas MD

• Community/Retail Pharmacy in Naples, FL
• Providers in Naples, 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 Jun 6, 2019; 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.