Medifixx MTM Pharmacy, LLC

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PS 45818 Issued in FL

Legal business name

MEDIFIXX MTM PHARMACY, LLC

Practice address

2601 SW Gallery Cir
Palm City, FL 34990-3147

Phone

(561) 729-1123

NPI assigned

Jun 5, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Christina Titilola Wachuku, PHARMD,CDE,CPH,BCACP

Title

Director of Pharmacy

Phone

(561) 729-1123

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1811300916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 SW GALLERY CIR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903147",
            "telephone_number": "561-729-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 SW GALLERY CIR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903147",
            "telephone_number": "561-729-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIFIXX MTM PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "WACHUKU",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "TITILOLA",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "561-729-1123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD,CDE,CPH,BCACP"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "FL",
            "license": "PS 45818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Palm City, FL
• Providers in Palm City, FL by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.