Rajkumar Mothe

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS63553 Issued in FL

Practice address

18911 S Tamiami TRL Ste 13
Fort Myers, FL 33908-4739

Phone

(239) 590-8820

NPI assigned

Jun 15, 2022

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

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1649900226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18911 S TAMIAMI TRL STE 13",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084739",
            "telephone_number": "239-590-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18911 S TAMIAMI TRL STE 13",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084739",
            "telephone_number": "239-590-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTHE",
        "first_name": "RAJKUMAR",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS63553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Anthony Moss, D.O.
• Lorraine K Moss, MS, CAP,
• Tiffany Mossman, ARNP
• Heather Elizabeth Mossotti
• Matheus Mota
• Amy Lynn Mott, O.D.
• Marlene S Moulton, M.D.
• William A Moulton III, MA. MA.ED.
• Heather L Moulzolf, ARNP
• Mouracade Recovery Medicine, PLLC

• Pharmacist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.