MAHENDRA J CHAUDHARI (NPI# 1891923355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891923355 |
| Entity Type | Individual |
| Full Name | MAHENDRA J CHAUDHARI |
| Credential | RPH, CCP |
| Practice Address |
18911 S Tamiami Trl Ste 13 Fort Myers FL 33908-4739 |
| Mailing Address |
11673 Plantation Preserve Cir S Fort Myers FL 33966-8372 |
| Practice Telephone | 2396581048 |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2020-07-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
28RI02630200 | NJ | Pharmacy Service Providers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH29777 | FL | Suppliers |
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PS51153 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CLIA WAIVER CERTIFICATION | 10D2186868 | 01 |
| FL | NPPES | 1891152989 | 01 |
| FL | NPPES | 1073903233 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 107 W Main St, Immokalee, FL 341423926 | 2396581048 |
| Street Address |
18911 S TAMIAMI TRL STE 13 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-4739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891152989 | Siddh Inc | Pharmacy | 18911 S Tamiami Trl Ste 13, Fort Myers, FL 33908-4739 | 2016-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736913 | Walter Robert Karpinia | Pharmacist | 2692 Oak Ridge Ct, Fort Myers, FL 33901-9351 | 2020-06-26 |
| 1821352386 | Jordan Michael Bowmaster | Pharmacist | 3033 Winkler Ave Ext, Fort Myers, FL 33916-9413 | 2012-06-29 |
| 1730474206 | Brian Ward Nelson | Pharmacist | 9350 Dynasty Dr, Target 2369, Fort Myers, FL 33905-5574 | 2011-06-13 |
| 1952548430 | Wendy Dean | Pharmacist | 3033 Winkler Avenue Ext, Fort Myers, FL 33916-9413 | 2009-01-20 |
| 1124265608 | Jack Dean II | Pharmacist | 2727 Winkler Ave, Fort Myers, FL 33901-9358 | 2009-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696345 | Cynthia Barbara Guerrero Gentile | Pharmacist | 11231 Macaw Ct, Windermere, FL 34786-5635 | 2020-10-16 |
| 1568069276 | Shannon Lea Wright | Pharmacist | 2021 Camden Loop, Davenport, FL 33837-1796 | 2020-10-06 |
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1497361976 | Ruxandra Ivascu | Pharmacist | 11782 E Dr Martin Luther King Jr Blvd, Seffner, FL 33584-4923 | 2020-09-20 |
| 1306458450 | Usif Darwish | Pharmacist | 3863 Us 301 S, Riverview, FL 33578-3572 | 2020-08-20 |
| 1528685203 | Caren Azurin | Pharmacist | 23965 Us 27, Lake Wales, FL 33859-7812 | 2020-06-29 |
| 1700400314 | Tonisha Simone Robinson Seixas | Pharmacist | 13280 Nw 18th St, Pembroke Pines, FL 33028-2502 | 2020-05-31 |
| 1942820287 | Sirisha Kandepi | Pharmacist | 8217 Miramar Way, Lakewood Ranch, FL 34202-9003 | 2020-04-16 |
| 1891323713 | Ralph Ranie Razon | Pharmacist | 3135 Sr 580 Ste 15, Suite 15, Safety Harbor, FL 34695-3528 | 2020-03-27 |
| 1710518477 | Richard D Moss | Pharmacist | 160 Sw 12 Avenue, Suite 101 D, Deerfield Beach, FL 33442 | 2020-01-31 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
Please comment or provide details below to improve the information on MAHENDRA J CHAUDHARI.
| 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.