Organization Active NPI

Mathew Management II Inc

  • Long Term Care Pharmacy
  • Largo, FL
National Provider Identifier
1932625837
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PH26256 Issued in FL
Legal business name
MATHEW MANAGEMENT II INC
Practice address
3350 E Bay Dr
Largo, FL 33771-1925
Phone
(727) 614-9933
Fax
(727) 614-9934
NPI assigned
Aug 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
Suzanne Holmes
Title
President
Phone
(727) 614-9933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X PH26256 FL Primary

Addresses

Primary practice location

3350 E Bay Dr
Largo, FL 33771-1925

Mailing address

3350 E Bay Dr
Largo, FL 33771-1925
Phone (727) 614-9933

Other identifiers 1

IdentifierTypeStateIssuer
006118600MedicaidFL

Other names 1

  • Bay Breeze RX Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1932625837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 E BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337711925",
            "telephone_number": "727-614-9933",
            "fax_number": "727-614-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 E BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337711925",
            "telephone_number": "727-614-9933",
            "fax_number": "727-614-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATHEW MANAGEMENT II INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-22",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-614-9933"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH26256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006118600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Breeze RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.