Fort Myers Beach Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH26595 Issued in FL

Legal business name

FORT MYERS BEACH PHARMACY

Doing business as

Soothe Personalized Medicine Rx

Practice address

1003 8TH Ave W
Bradenton, FL 34205-7709

Phone

(941) 794-2444

Fax

(941) 794-2446

NPI assigned

Jan 10, 2013

Last updated

May 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robin Padgett, PHARMD

Title

Prescription Department Manager

Phone

(941) 794-2444

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Soothe Personalized Medicine Rx Doing business as

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1841537826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 8TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342057709",
            "telephone_number": "941-794-2444",
            "fax_number": "941-794-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 8TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342057709",
            "telephone_number": "941-794-2444",
            "fax_number": "941-794-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT MYERS BEACH PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-10",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "PADGETT",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "PRESCRIPTION DEPARTMENT MANAGER",
        "authorized_official_telephone_number": "941-794-2444",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH26595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5713006",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soothe Personalized Medicine Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jennifer Ann Fornicola, APRN
• Farhad Foroughi, D.M.D.
• Michael Gregory Foss
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• Brianne Ronelle Foster, APRN
• Christopher Foster, PHARMD
• Dorothy Anne Foster, LCSW

• Community/Retail Pharmacy in Bradenton, FL
• Providers in Bradenton, 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 2, 2016; 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.