NPIMap

Organization Active NPI

St. Joseph'S Pharmacy and Medical Supplies, LLC

  • Durable Medical Equipment & Medical Supplies
  • New Port Richey, FL
National Provider Identifier
1457539629
Registry record updated Feb 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ST. JOSEPH'S PHARMACY AND MEDICAL SUPPLIES, LLC
Practice address
4508 Mayflower Dr
New Port Richey, FL 34652-5145
Phone
(727) 683-1800
NPI assigned
Feb 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2008

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

Authorized official

Name
Minimol KuriakoseNPI 1417766684
Title
Owner
Phone
(727) 683-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4508 Mayflower Dr
New Port Richey, FL 34652-5145

Mailing address

4508 Mayflower Dr
New Port Richey, FL 34652-5145

National Provider Directory

National Provider Directory
Tax ID family
St Joseph Pharmacy Medical2 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

4508 Mayflower Dr
New Prt Rchy, FL 34652
Phone (727) 683-1800

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1202515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202515200000",
    "number": "1457539629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4508 MAYFLOWER DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346525145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 MAYFLOWER DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346525145",
            "telephone_number": "727-683-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH'S PHARMACY AND MEDICAL SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-09",
        "last_updated": "2008-02-09",
        "status": "A",
        "authorized_official_last_name": "KURIAKOSE",
        "authorized_official_first_name": "MINIMOL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-683-1800"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2008; 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.