Active NPI
Dominic Cordisco
- Pharmacist
- Cape Coral, FL
National Provider Identifier
1407466840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS59926
- Practice address
- 211 Hancock Bridge Pkwy Unit 7
Cape Coral, FL 33990-4022 - Phone
- (239) 677-4945
- Fax
- (239) 800-4854
- NPI assigned
- Jul 31, 2020
- 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 | PS59926 | FL | Primary |
Addresses
Primary practice location
211 Hancock Bridge Pkwy Unit 7
Cape Coral, FL 33990-4022
Mailing address
211 Hancock Bridge Pkwy Unit 7
Cape Coral, FL 33990-4022
Phone (239) 677-4945
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 |
|---|---|---|---|
| PS59926 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T-RX Pharmacy | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Cape Coral, FL
- NPI 1669826178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596153600000",
"number": "1407466840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 HANCOCK BRIDGE PKWY UNIT 7",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339904022",
"telephone_number": "239-677-4945",
"fax_number": "239-800-4854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 HANCOCK BRIDGE PKWY UNIT 7",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339904022",
"telephone_number": "239-677-4945",
"fax_number": "239-800-4854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDISCO",
"first_name": "DOMINIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-31",
"last_updated": "2020-07-31",
"certification_date": "2020-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS59926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.