Active NPI
Andy Hieu Mai, PHARMD
- Pharmacist
- Cape Coral, FL
National Provider Identifier
1952925893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS59374
- Practice address
- 636 Del Prado Blvd S
Cape Coral, FL 33990-2695 - Phone
- (239) 424-2000
- NPI assigned
- Jun 6, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS59374 | FL | Primary |
Addresses
Primary practice location
636 Del Prado Blvd S
Cape Coral, FL 33990-2695
Mailing address
21298 Olean Blvd
Port Charlotte, FL 33952-6765
Phone (315) 481-8623
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS59374 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630108800000",
"number": "1952925893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21298 OLEAN BLVD",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339526765",
"telephone_number": "315-481-8623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 DEL PRADO BLVD S",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339902695",
"telephone_number": "239-424-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAI",
"first_name": "ANDY",
"middle_name": "HIEU",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-06",
"last_updated": "2021-08-28",
"certification_date": "2021-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS59374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.