Kotanational Mercantile Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH11215 Issued in FL

Legal business name

KOTANATIONAL MERCANTILE INC

Practice address

128 NE 54TH St
Miami, FL 33137-2416

Phone

(305) 751-2783

Fax

(305) 758-3522

NPI assigned

Nov 30, 2009

Organization subpart

No

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

Authorized official

Name

Tony F Orukotan, PHARM D

Title

President

Phone

(305) 751-2783

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• cinderellon Doing business as

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1902134083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 NE 54TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331372416",
            "telephone_number": "305-751-2783",
            "fax_number": "305-758-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 NE 54TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331372416",
            "telephone_number": "305-751-2783",
            "fax_number": "305-758-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOTANATIONAL MERCANTILE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "ORUKOTAN",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-751-2783",
        "authorized_official_credential": "PHARM  D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH11215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100748300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "cinderellon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas John Koster, DO
• Maja Kostic, MD, PHD
• Rebecca Kostopoulos
• Robert Kostoroski, D.O.
• James Kostowicz
• Rupesh Rajesh Kotecha, M.D.
• Bhanu Prakash Kotha
• Pariaml Kothari, M.D.
• Tzvi Kotkes, M.D.
• Kimberly Kott

• Community/Retail Pharmacy in Miami, FL
• Providers in Miami, 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 30, 2009; 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.