My Pharmacy Punta Gorda, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

MY PHARMACY PUNTA GORDA, LLC

Practice address

514 East Grace Street
Punta Gorda, FL 33950

Phone

(407) 968-3324

NPI assigned

Dec 14, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Brian Branham

Title

Owner

Phone

(321) 239-2413

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1437818705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 EAST GRACE STREET",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "33950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 EAST GRACE STREET",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "33950",
            "telephone_number": "407-968-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PHARMACY PUNTA GORDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "BRANHAM",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-239-2413",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasser Mostafa, PHYSICAL THERAPIST
• Lisa Ann Motteler, APRN FNP-C
• Bryce Noelle Muniz
• Catina Murphy, PHARMD
• Deborah Ann Murphyfischer, MBA OTR
• Nancy Hundt, M.D., P.a.
• Joseph John Nanna
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• Pharmacy in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.