Organization Active NPI

Mathew Management II Inc

Doing business as Bay Breeze RX

  • Community/Retail Pharmacy
  • Largo, FL
National Provider Identifier
1558616391
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH26256 Issued in FL
Legal business name
MATHEW MANAGEMENT II INC
Doing business as
Bay Breeze RX
Practice address
3350 E Bay Dr
Largo, FL 33771-1925
Phone
(727) 614-9933
Fax
(727) 614-9934
NPI assigned
Jul 18, 2012
Last updated
Jun 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Authorized official

Name
Suzanne Holmes
Title
Owner / President
Phone
(727) 614-9933

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PH26256 FL Primary
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

3350 E Bay Dr
Largo, FL 33771-1925

Mailing address

3350 E Bay Dr
Largo, FL 33771-1925
Phone (727) 614-9933

Other identifiers 1

IdentifierTypeStateIssuer
5711064OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Bay Breeze RX Doing business as

National Provider Directory

National Provider Directory

Locations

3350 E Bay Dr
Largo, FL 33771
Phone (727) 614-9933

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1558616391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 E BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337711925",
            "telephone_number": "727-614-9933",
            "fax_number": "727-614-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 E BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337711925",
            "telephone_number": "727-614-9933",
            "fax_number": "727-614-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATHEW MANAGEMENT II INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "727-614-9933"
    },
    "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": "PH26256",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5711064",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Breeze RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.