Gulf Coast Medical Pharmacy Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

PH20076 Issued in FL

Legal business name

GULF COAST MEDICAL PHARMACY INC

Doing business as

Gulf Coast Medical Pharmacy

Practice address

13685 Doctors Way
Suite #150
Fort Myers, FL 33912-4336

Phone

(239) 278-3969

Fax

(239) 278-0336

NPI assigned

Nov 16, 2006

Organization subpart

Yes

Parent organization

GULF COAST MEDICAL PHARMACY INCAs reported in NPPES

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

Authorized official

Name

Mr. Jeffrey R. Green

Title

Owner

Phone

(239) 278-3969

Specialties & licenses 1

Addresses

Other names 1

• GULF COAST MEDICAL PHARMACY Doing business as

Part of

Gulf Coast Medical Pharmacy Inc

Locations

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1568535870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13685 DOCTORS WAY",
            "address_2": "SUITE #150",
            "city": "FT.MYERS",
            "state": "FL",
            "postal_code": "33912",
            "telephone_number": "239-278-3969",
            "fax_number": "239-278-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13685 DOCTORS WAY",
            "address_2": "SUITE #150",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124336",
            "telephone_number": "239-278-3969",
            "fax_number": "239-278-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST MEDICAL PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GULF COAST MEDICAL PHARMACY INC",
        "enumeration_date": "2006-11-16",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-278-3969",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "PH20076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GULF COAST MEDICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Gulf Coast Pharmacy Inc (ApothiCare 360)
• Gulf Coast Physicians Inc
• Gulf Coast Pmra LLC
• Gulf Coast Psychology, Inc
• Gulf Coast Radiology Services LLC

• Health Maintenance Organization in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.