Total Healthcare Alliance

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

TOTAL HEALTHCARE ALLIANCE

Doing business as

SOZO WELLNESS PHARMACY

Practice address

3510 Dr Martin Luther King Blvd Ste 1
Fort Myers, FL 33916-4608

Phone

(239) 826-4192

NPI assigned

May 11, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Shadreka McIntosh, PHARM.D.NPI 1619194263

Title

Owner

Phone

(239) 488-2580

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SOZO WELLNESS PHARMACY Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Shadreka T McIntosh, PHARM.D.

  • Pharmacist
  • Fort Myers, FL
  • NPI 1619194263
  NPD Authorized official

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1487276663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 DR MARTIN LUTHER KING BLVD STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339164608",
            "telephone_number": "239-488-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 DR MARTIN LUTHER KING BLVD STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339164608",
            "telephone_number": "239-826-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTHCARE ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-11",
        "last_updated": "2022-02-25",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "SHADREKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-488-2580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108203100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SOZOLIVEWELL@GMAIL.COM",
            "affiliation": "N",
            "address_1": "3510 Dr Martin Luther King Blvd Ste 1",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339164608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SOZO WELLNESS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOZO WELLNESS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olga Torres
• Telvia J Torres
• James Robert Torrico, PA-C
• Kelcey Cherie Torsiello, PA-C
• Monte Jay Tosser
• Total Kidney Oversight PA
• Total Senior Home Health Care, LLC
• Touched by an Angel Senior Care LLC
• Lori A Touchstone, LMHC
• Glenn A Tovar Dias, MD

• Community/Retail Pharmacy in Fort Myers, FL
• Providers in Fort Myers, 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 Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.