| NPI | 1063856367 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2013-04-17 |
| Last Updated | 2021-02-05 |
| Authorized Official | Suresh Chaudhari Authorize person Phone: 2395604354 |
| Mailing Address | 15215 Collier Blvd, Suit#308 Naples, FL 34119-6834 United States Phone: (239) 353-0800 | Fax: (239) 353-0804 📍 View Map |
| Primary Practice Address | 15215 Collier Blvd Ste 308 Naples, FL 34119-6835 United States Phone: (239) 353-0800 | Fax: (239) 353-0804 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | FL | 008590000 | - |
| Other (non-Medicare) | - | 2139949 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | - | - |
| No | 3336C0004X – Pharmacy, Compounding Pharmacy | - | - |
| No | 3336S0011X – Pharmacy, Specialty Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | FL | PH26789 |
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About NPI 1063856367
Pebblebrook Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1063856367. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Naples, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2013-04-17. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063856367?
NPI 1063856367 belongs to Pebblebrook Inc, a Pharmacy, Community/Retail Pharmacy in Naples, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063856367 active?
The current status of NPI 1063856367 in the NPPES registry is Active. The record was last updated on 2021-02-05.
What specialty is NPI 1063856367?
NPI 1063856367 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1063856367?
You can verify NPI 1063856367 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1063856367?
The primary practice address on file for NPI 1063856367 is 15215 Collier Blvd Ste 308, Naples, FL 34119-6835. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063856367 issued?
NPI 1063856367 was first issued (enumerated) on 2013-04-17. The NPPES record was last updated on 2021-02-05.
Practice Location Map
Pebblebrook Inc is located at 15215 Collier Blvd Ste 308, Naples, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Pebblebrook Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1063856367. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | PH26789 | FL |