Hedges Prescription Shop of Sarasota Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH22632 Issued in FL

Legal business name

HEDGES PRESCRIPTION SHOP OF SARASOTA INC

Practice address

24 N Lime Ave
Sarasota, FL 34237-6120

Phone

(941) 366-2424

Fax

(941) 954-6043

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Chris Charles Mottram, RPHNPI 1154426948

Title

Owner

Phone

(941) 366-2424

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Hedges Healthmart Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Networks

• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chris C Mottram, RPH

  • Pharmacist
  • Sarasota, FL
  • NPI 1154426948
  NPD Authorized official
• Tara Zoeann Martin, PHARMD

  • Pharmacist
  • Sarasota, FL
  • NPI 1093282386
  NPD (past)
• Sandip Jashvantsinh Rathod

  • Pharmacist
  • Sarasota, FL
  • NPI 1639515653
  NPD (past)
• Dana Marie Schmelzer, PHARMD

  • Pharmacist
  • Sarasota, FL
  • NPI 1033733407
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557964800000",
    "number": "1669577656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 N LIME AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376120",
            "telephone_number": "941-366-2424",
            "fax_number": "941-954-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 N LIME AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376120",
            "telephone_number": "941-366-2424",
            "fax_number": "941-954-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEDGES PRESCRIPTION SHOP OF SARASOTA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2019-05-16",
        "status": "A",
        "authorized_official_last_name": "MOTTRAM",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-366-2424",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PH22632",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH22632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031907401",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031907400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "1020255",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hedges Healthmart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hedges Healthmart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heavenly Hands Holistic Medical Center Inc
• Diana Hebert, AP
• Stefanie Hebert
• Celeste Hebra Grande
• Jason Andrew Heckendorn, D.O.
• Sean Heenehan, R.R.T.
• Joyce Hegeman, PT
• Stephanie Marie Hegerich, PTA
• Zahra Heidari, MD
• Margarita Heideman, MSW, BS

• Community/Retail Pharmacy in Sarasota, FL
• Providers in Sarasota, 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 May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.