Individual provider Active NPI

Ann Mathew Padikkan

  • Pharmacist
  • Lithia, FL
National Provider Identifier
1699630244
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS47749 Issued in FL
Practice address
6119 Audubon Manor Blvd
Lithia, FL 33547-5032
Phone
(217) 979-9898
NPI assigned
Dec 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS47749 FL Primary

Addresses

Primary practice location

6119 Audubon Manor Blvd
Lithia, FL 33547-5032

Mailing address

6119 Audubon Manor Blvd
Lithia, FL 33547-5032
Phone (217) 979-9898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PS47749FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1765929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1699630244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6119 AUDUBON MANOR BLVD",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335475032",
            "telephone_number": "217-979-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6119 AUDUBON MANOR BLVD",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335475032",
            "telephone_number": "217-979-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADIKKAN",
        "first_name": "ANN",
        "middle_name": "MATHEW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-17",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS47749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithia, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.