NPIMap

Organization Active NPI

Florida Department of Health

  • Community/Retail Pharmacy
  • North Fort Myers, FL
National Provider Identifier
1992846539
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH10694 Issued in FL
Legal business name
FLORIDA DEPARTMENT OF HEALTH
Practice address
83 Pondella Rd
North Fort Myers, FL 33903-4411
Phone
(239) 461-6148
Fax
(239) 461-6160
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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

Authorized official

Name
William Mallett
Title
Assistant Director
Phone
(239) 461-6148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH10694 FL Primary

Addresses

Primary practice location

83 Pondella Rd
North Fort Myers, FL 33903-4411

Mailing address

83 Pondella Rd
North Fort Myers, FL 33903-4411
Phone (239) 461-6148

Other identifiers 3

IdentifierTypeStateIssuer
1068154OtherNCPDP PROVIDER IDENTIFICATION NUMBER
027946316MedicaidFL
027946309MedicaidFL

Other names 1

  • Lee County Health Department Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dept of Health Central Pharmacy185 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Locations

83 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 461-6100

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1992846539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 PONDELLA RD",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339034411",
            "telephone_number": "239-461-6148",
            "fax_number": "239-461-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 PONDELLA RD",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339034411",
            "telephone_number": "239-461-6148",
            "fax_number": "239-461-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA DEPARTMENT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "MALLETT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "239-461-6148"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH10694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1068154",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027946316",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027946309",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lee County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.