Miles S Judah, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH6314 Issued in FL

Legal business name

MILES S JUDAH, INC

Practice address

457 Carlton Street
Wauchula, FL 33873-3400

Phone

(863) 773-4525

Fax

(863) 773-2842

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Miles S Judah, RPH

Title

Owner Pharmacist

Phone

(863) 773-4525

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pete's Pharmacy Doing business as

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1992865158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 CARLTON STREET",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338733400",
            "telephone_number": "863-773-4525",
            "fax_number": "863-773-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 CARLTON STREET",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338733400",
            "telephone_number": "863-773-4525",
            "fax_number": "863-773-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES S JUDAH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "JUDAH",
        "authorized_official_first_name": "MILES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "863-773-4525",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH6314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE",
            "identifier": "PH6314",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "1023340",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pete's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MCR Health, Inc.
• MCR Health, Inc.
• Gregorio Nunez Medalle, MD
• Christy A Merrick, ARNP
• Adna Metayer
• Bonnie Misiak, DDS
• Kayum Mohammadbhoy, M.D.
• Mireya Mondragon
• Lindsay Moon, PHARMD
• Catherine Morris, L.M.T.

• Community/Retail Pharmacy in Wauchula, FL
• Providers in Wauchula, 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 Mar 7, 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.