Marc Charles Mesadieu

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS37140 Issued in FL

Practice address

9048 Bonita Beach Rd SE
Bonita Springs, FL 34135-4237

Phone

(239) 221-7233

Fax

(185) 576-5770

NPI assigned

Aug 13, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• J-M Ward Enterprises LLC

  • Pharmacy
  • Bonita Springs, FL
  • NPI 1952637449
  NPD (past)
• J&JL Enterprises, LLC D/B/a J&J Louis Enterprises, LLC (John'S Pharmac

  • Community/Retail Pharmacy
  • Bonita Springs, FL
  • NPI 1235601147
  NPD (past)

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1639725989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9048 BONITA BEACH RD SE",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9048 BONITA BEACH RD SE",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354237",
            "telephone_number": "239-221-7233",
            "fax_number": "185-576-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESADIEU",
        "first_name": "MARC",
        "middle_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS37140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Pugh DMD, P.a. - GP
• Ashley E. Melton
• Memoreable ABA LLC
• Roxanna Maria Menendez, D.O.
• Douglas A Merlo, DC
• Michael J. Woulas, PH.D., Inc
• Allie May Michal, PHARMD
• Michelle Amendola SLP, LLC
• Michelle Hogan NP Wellness Consultant LLC
• Ann M Mihalko, D.M.D.

• All providers in Bonita Springs, FL
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.