Organization Active NPI

Diana Moldon Corporation

Doing business as MD Pharmacy & MES

  • Community/Retail Pharmacy
  • Cape Coral, FL
National Provider Identifier
1447504881
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DIANA MOLDON CORPORATION
Doing business as
MD Pharmacy & MES
Practice address
3512 Del Prado Blvd Chelsea Place
Suite 111
Cape Coral, FL 33904-7259
Phone
(305) 643-1417
Fax
(305) 642-5241
NPI assigned
Nov 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Diana Moldon
Title
Owner
Phone
(305) 642-5241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3512 Del Prado Blvd Chelsea Place
Suite 111
Cape Coral, FL 33904-7259

Mailing address

3512 Del Prado Blvd Chelsea Place
Suite 111
Cape Coral, FL 33904-7259
Phone (305) 643-1417

Other names 1

  • MD Pharmacy & MES Doing business as

National Provider Directory

National Provider Directory

Locations

3512 Del Prado Blvd S
Ste 111
Cape Coral, FL 33904
Phone (305) 643-1417

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1447504881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3512 DEL PRADO BLVD CHELSEA PLACE",
            "address_2": "SUITE 111",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047259",
            "telephone_number": "305-643-1417",
            "fax_number": "305-642-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 DEL PRADO BLVD CHELSEA PLACE",
            "address_2": "SUITE 111",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047259",
            "telephone_number": "305-643-1417",
            "fax_number": "305-642-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA MOLDON CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "MOLDON",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-642-5241"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD Pharmacy & MES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 15, 2012; 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.