Cab Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH26527 Issued in FL

Legal business name

CAB PHARMACY INC

Doing business as

Good Health Pharmacy

Practice address

1501 1St St S
Suite 1
Winter Haven, FL 33880-4307

Phone

(863) 229-5974

Fax

(863) 229-5975

NPI assigned

Nov 30, 2012

Last updated

Sep 27, 2016By 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

Bharath Jannu

Title

Pharmacy Manager

Phone

(863) 229-5974

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• GOOD HEALTH PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1609111764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 1ST ST S",
            "address_2": "SUITE 1",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804307",
            "telephone_number": "863-229-5974",
            "fax_number": "863-229-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 1ST ST S",
            "address_2": "SUITE 1",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804307",
            "telephone_number": "863-229-5974",
            "fax_number": "863-229-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAB PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-30",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "JANNU",
        "authorized_official_first_name": "BHARATH",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "863-229-5974"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH26527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008452300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138028",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOOD HEALTH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George William Butz, III, D.D.S.
• Gretchen Buytas
• Byrd Screening LLC
• Emma Christine Byrnes, SLP
• C U Nawada MD PA
• Genola Cablish, OT
• Roan Cadavona, ARNP
• James W Caldwell, HIS
• Olivia Grace Anne Caldwell, ATC
• Nan Callan, LMHC

• Community/Retail Pharmacy in Winter Haven, FL
• Providers in Winter Haven, 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 27, 2016; 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.