Island Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH22606 Issued in FL

Legal business name

ISLAND PHARMACY INC

Doing business as

Island Pharmacy Inc

Practice address

2330 Palm Ridge Rd
Ste 12
Sanibel, FL 33957-3280

Phone

(239) 472-6188

Fax

(239) 472-6144

NPI assigned

Mar 27, 2007

Last updated

Sep 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rajimon Mathai, RPH

Title

President

Phone

(239) 245-1654

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• ISLAND PHARMACY INC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joe Samuel

  • Critical Care Medicine Registered Nurse
  • Fort Myers, FL
  • NPI 1649749441
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1487772661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 PALM RIDGE RD",
            "address_2": "STE 12",
            "city": "SANIBEL",
            "state": "FL",
            "postal_code": "339573280",
            "telephone_number": "239-472-6188",
            "fax_number": "239-472-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 PALM RIDGE RD",
            "address_2": "STE 12",
            "city": "SANIBEL",
            "state": "FL",
            "postal_code": "339573280",
            "telephone_number": "239-472-6188",
            "fax_number": "239-472-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "MATHAI",
        "authorized_official_first_name": "RAJIMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-245-1654",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH22606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2008766",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ISLAND PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Health and Rehabilitation Consultants, Inc. (Homestead Physical Therapy)
• Chris Hionedes
• Christopher Holden
• Holiday CVS LLC (CVS Pharmacy #03441)
• Lyle Edward Hotchkiss, D.D.S.
• Island Therapy Services of Sanibel, LLC (Island Therapy Center)
• Steven Alan Jerrett, M.D.
• Susan Ransom Klemmer, LMHC, NCC
• Charles Andrew Krivenko, MD
• Edward P Lamotta, MD

• Community/Retail Pharmacy in Sanibel, FL
• Providers in Sanibel, 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 Sep 19, 2025; 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.