Devan Mathura, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS34051 Issued in FL

Practice address

2307 Boggy Creek Rd
Kissimmee, FL 34744-3901

Phone

(321) 284-4631

Fax

(321) 284-4773

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Caring Touch Medical Supplies, LLC

  • Durable Medical Equipment & Medical Supplies
  • Kissimmee, FL
  • NPI 1366521940
  NPD (past) Authorized official
• Super Saver Pharmacy # 2

  • Durable Medical Equipment & Medical Supplies
  • Kissimmee, FL
  • NPI 1023156106
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619055894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4433 LAKE CALABAY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328375468",
            "telephone_number": "407-852-3161",
            "fax_number": "321-284-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 BOGGY CREEK RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443901",
            "telephone_number": "321-284-4631",
            "fax_number": "321-284-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHURA",
        "first_name": "DEVAN",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS34051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "PS34051",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shyji P Mathew, ARNP
• Sigy Ann Mathew
• Sosamma K Mathew, ARNP
• Patrick F Mathias, MD
• Charlene Mathura, RPH
• Sheila Matilla Diaz
• Ingrid M Matos - Martinez, BA
• Yanelys Matos Aguila
• Maria Matos Camacho
• Migdalis Matos Gonzalez, M.D.

• Pharmacist in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.