Matthew 725 Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH31462 Issued in FL

Legal business name

MATTHEW 725 INC

Practice address

2683 Saint Johns Bluff Rd S Ste 135
Jacksonville, FL 32246-3765

Phone

(904) 513-4075

NPI assigned

Jul 20, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Steven Theodore Mougeot, PHARMDNPI 1093053498

Title

President/Owner/Director

Phone

(904) 860-4948

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Steven Theodore Mougeot, PHARMD

  • Pharmacist
  • Jacksonville, FL
  • NPI 1093053498
  NPD (past) Authorized official

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1477030674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2683 SAINT JOHNS BLUFF RD S STE 135",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322463765",
            "telephone_number": "904-513-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2683 SAINT JOHNS BLUFF RD S STE 135",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322463765",
            "telephone_number": "904-513-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW 725 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "MOUGEOT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/DIRECTOR",
        "authorized_official_telephone_number": "904-860-4948",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH31462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Mattei
• Jerry P Matteo, MD
• Sondra Matter, PH.D.
• Sharae M Matteu, LMT
• Michael John Matteucci, M.D.
• Matthew George Arnp-BC PA
• Matthew J Henry DDS PL
• Brittany Kim Matthew-Wilton, LMHC
• Martins Chima Matthew, M.D.
• Trevanne Rose Matthews Hew, MD

• Community/Retail Pharmacy in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.