GULF MED PHARMACY INC (NPI# 1538529060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538529060 |
| Entity Type | Organization |
| Organization Name | GULF MED PHARMACY INC |
| Other Organization Name | GULF MED PHARMACY INC |
| Practice Address |
4106 Del Prado Blvd S Cape Coral FL 33904-7163 |
| Practice Telephone | 2395421291 |
| Practice Fax Number | 2395421292 |
| Mailing Telephone | 2395421291 |
| Mailing Fax Number | 2395421292 |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-12-18 |
| Authorized Official Name | GUERDITH FERTIL (PRESIDENT/OWNER) |
| Authorized Official Telephone | 2395419789 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH30406 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2158420 | 01 |
| Other Name | Type Code |
|---|---|
| GULF MED PHARMACY INC | Doing Business As Name - Organization |
| Street Address |
4106 DEL PRADO BLVD S |
| City | CAPE CORAL |
| State | FL |
| Zip Code | 33904-7163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356835698 | Wendy Reyes Perez | Behavioral Analyst | 326 Se 31st St, Cape Coral, FL 33904 | 2018-06-20 |
| 1669923488 | Tcm Quality Services, Inc | Case Management | 2804 Del Prado Blvd, # 209 Suite 3, Cape Coral, FL 33904 | 2016-10-17 |
| 1851766471 | Malissa Maki | Social Worker | 3723a Delprado Blvd, Cape Coral, FL 33904 | 2015-12-08 |
| 1942688767 | Physicians Services and Rehab Inc | Physical Medicine & Rehabilitation | 506 Se 47th Terr Suite B, Cape Coral, FL 33904 | 2015-05-13 |
| 1790184356 | Rx Imaging of Swfl, LLC | Family Medicine | 506 Se 47th St Suite A, Cape Coral, FL 33904 | 2014-08-20 |
| 1508205634 | Brandy Williams | Counselor | 3723 A Del Prado Blvd S, Cape Coral, FL 33904 | 2013-06-21 |
| 1295002608 | Jcs Home Health, Inc. | Home Health | 1505 Se 40th St., Ste. C, Cape Coral, FL 33904 | 2011-11-30 |
| 1477835551 | Thomas Dare | Occupational Therapist | 4129 Se 2nd Ave., Cape Coral, FL 33904 | 2011-09-14 |
| 1134422173 | Michelle L Mandich | Massage Therapist | 3636 Del Prado Blvd S., Cape Coral, FL 33904 | 2010-12-14 |
| 1770807059 | Professional Nurses Registry | Nursing Care | 875 Se 47th Terr., Suite 1, Cape Coral, FL 33904 | 2010-03-16 |
| Find all providers in zip 33904 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467859140 | L & H Pharma Corp | Pharmacy | 8 Del Prado Blvd S Ste F, Cape Coral, FL 33990-1773 | 2014-11-25 |
| 1912310848 | Orange Pharmacy Corp | Pharmacy | 1417 Del Prado Blvd S, Unit 4, Cape Coral, FL 33990-3749 | 2014-06-09 |
| 1447504881 | Diana Moldon Corporation | Pharmacy | 3512 Del Prado Blvd Chelsea Place, Suite 111, Cape Coral, FL 33904-7259 | 2012-11-07 |
| 1235365495 | St Judes Pharmacy Inc | Pharmacy | 1202 Ne Pine Island Rd, Ste Iv, Cape Coral, FL 33909-2197 | 2009-06-02 |
| 1477622025 | Cape Coral Express Pharmacy Inc | Pharmacy | 505 Del Prado Blvd N, Cape Coral, FL 33909-2269 | 2006-11-07 |
| 1356445266 | Holiday Cvs LLC | Pharmacy | 1209 Del Prado Blvd S, Cape Coral, FL 33990-3643 | 2006-09-12 |
| 1093107195 | Lee Memorial Health System | Pharmacy | 636 Del Prado Blvd S, Cape Coral, FL 33990-2668 | 2015-02-26 |
| 1063751238 | Del Prado Discount Pharmacy | Pharmacy | 2500 Del Prado Blvd S, Ste 2504, Cape Coral, FL 33904-5750 | 2013-02-08 |
| 1437343514 | Holiday Cvs LLC | Pharmacy | 1890 Ne Pine Island Rd, Cape Coral, FL 33909-1733 | 2007-08-31 |
| 1417051491 | Holiday Cvs LLC | Pharmacy | 737 Cape Coral Pkwy E, Cape Coral, FL 33904-8551 | 2006-09-12 |
| Find all providers in CAPE CORAL | ||||
| City | CAPE CORAL |
| Zip Code | 33904 |
Please comment or provide details below to improve the information on GULF MED PHARMACY INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.