Maktina LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH29485 Issued in FL

Legal business name

MAKTINA LLC

Practice address

4012 Sawyer Rd
Suite# 107
Sarasota, FL 34233-1231

Phone

(941) 552-6054

NPI assigned

Mar 11, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Christine Kadous

Title

Owner

Phone

(941) 552-6054

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• st simon pharmacy Doing business as

Locations

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1861885170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 SAWYER RD",
            "address_2": "SUITE# 107",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331231",
            "telephone_number": "941-552-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 SAWYER RD",
            "address_2": "SUITE# 107",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331231",
            "telephone_number": "941-552-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKTINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "KADOUS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-552-6054",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH29485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013655600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "st simon pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margaret Mako, RPH
• Veronica Makowiecki, CNA
• Ann Marie Makowski, LCSW
• Brett Tyler Makowski
• Maria Maksimova
• Meredith Malak
• Michelle Lynne Malatlian, PHARMD
• Malhotra Acupuncture Centre, Inc.
• Tara Malhotra, AP
• Bobby Rajesh Malik, DO

• Community/Retail Pharmacy in Sarasota, FL
• Providers in Sarasota, 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 Nov 5, 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.