Organization Active NPI

Southwest Florida Infusion Care Inc

  • Long Term Care Pharmacy
  • Wellington, FL
National Provider Identifier
1790757508
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
SOUTHWEST FLORIDA INFUSION CARE INC
Practice address
3340 Fairlane Farms Rd.
Ste 4
Wellington, FL 33414
Phone
(561) 469-1181
Fax
(561) 469-1182
NPI assigned
Feb 6, 2006
Last updated
Jun 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Authorized official

Name
Merden Rabieifar, PHARM D
Title
President/Pharmacist
Phone
(561) 876-4043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X FL Primary

Addresses

Primary practice location

3340 Fairlane Farms Rd.
Ste 4
Wellington, FL 33414

Mailing address

3340 Fairlane Farms Rd
Ste 4
Wellington, FL 33414
Phone (561) 469-1181

Other identifiers 2

IdentifierTypeStateIssuer
105405801MedicaidFL
105405800MedicaidFL

National Provider Directory

National Provider Directory

Locations

3390 Tamiami Trl
Ste 203
Port Charlotte, FL 33952
Phone (941) 625-1530

3527C Tamiami Trl
Pt Charlotte, FL 33952
Phone (941) 625-1530

3340 Fairlane Farms Rd
Ste 4
Wellington, FL 33414
Phone (561) 469-1181

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1790757508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 FAIRLANE FARMS RD",
            "address_2": "STE 4",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-469-1181",
            "fax_number": "561-469-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 FAIRLANE FARMS RD.",
            "address_2": "STE 4",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-469-1181",
            "fax_number": "561-469-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST FLORIDA INFUSION CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "RABIEIFAR",
        "authorized_official_first_name": "MERDEN",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "561-876-4043",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105405801",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105405800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.