NPIMap

Organization Active NPI

Vista Specilty Pharmacy

Doing business as Key Health Pharmacy

  • Community/Retail Pharmacy
  • Clermont, FL
National Provider Identifier
1427303098
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH28734 Issued in FL
Legal business name
VISTA SPECILTY PHARMACY
Doing business as
Key Health Pharmacy
Practice address
1500 Oakley Seaver Dr Ste 3
Clermont, FL 34711-1974
Phone
(352) 989-5850
Fax
(352) 989-5849
NPI assigned
Jul 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Authorized official

Name
Sandeep Mathow
Title
Director of Pharmacy
Phone
(407) 536-5696

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH28734 FL Primary

Addresses

Primary practice location

1500 Oakley Seaver Dr Ste 3
Clermont, FL 34711-1974

Mailing address

1500 Oakley Seaver Dr Ste 3
Clermont, FL 34711-1974
Phone (352) 989-5850

Other identifiers 1

IdentifierTypeStateIssuer
2149428OtherPK

Other names 1

  • Key Health Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Key Health Pharmacy2 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

1500 Oakley Seaver Dr
Ste 3
Clermont, FL 34711
Phone (352) 989-5850

NPI Registry JSON

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1427303098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 OAKLEY SEAVER DR STE 3",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111974",
            "telephone_number": "352-989-5850",
            "fax_number": "352-989-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 OAKLEY SEAVER DR STE 3",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111974",
            "telephone_number": "352-989-5850",
            "fax_number": "352-989-5849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA SPECILTY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "MATHOW",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "407-536-5696"
    },
    "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": "PH28734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149428",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Key Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.