Individual provider Active NPI

Saji Mathew John, RPH

  • Pharmacist
  • Hialeah, FL
National Provider Identifier
1811662448
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
42066 Issued in FL
Practice address
1255 W 46TH St Ste 5
Hialeah, FL 33012-3257
Phone
(786) 359-4283
Fax
(786) 899-0980
NPI assigned
Aug 16, 2021
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 42066 FL Primary

Addresses

Primary practice location

1255 W 46TH St Ste 5
Hialeah, FL 33012-3257

Mailing address

16184 Mariposa Cir N
Fort Lauderdale, FL 33331-4602
Phone (954) 242-6675

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
42066FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tu Salud Pharmacy Inc CurrentSince Aug 28, 2021 Accepting new patients

Locations

1255 W 46th St
Ste 5
Hialeah, FL 33012
Phone (305) 557-2262

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1811662448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16184 MARIPOSA CIR N",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333314602",
            "telephone_number": "954-242-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 W 46TH ST STE 5",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123257",
            "telephone_number": "786-359-4283",
            "fax_number": "786-899-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "SAJI",
        "middle_name": "MATHEW",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "42066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.