MEDICARE: PATIENT CARE PHARMACY SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	PH 17469	FL
2	333600000X	Pharmacy	PH 17469	FL
3	3336C0003X	Community/Retail Pharmacy	PH17469	FL
4	3336H0001X	Home Infusion Therapy Pharmacy	PH 17469	FL
5	3336L0003X	Long Term Care Pharmacy	PH17469	FL
6	3336M0002X	Mail Order Pharmacy	PH17469	FL
7	3336S0011X	Specialty Pharmacy	PH17469	FL
8	332B00000X	Durable Medical Equipment & Medical Supplies	PH 17469	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194740902
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATIENT CARE PHARMACY SERVICES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 5047
Second Line	:
City	:	MERIDIAN
State	:	MS
Zip	:	39302-5047
Country	:	US
Telephone Number	:	800-447-4095
Fax Number	:	601-482-7490

Provider Business Practice Location Address
First Line	:	1476 MARKET CIR
Second Line	:	STE A
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33953-3876
Country	:	US
Telephone Number	:	941-473-3200
Fax Number	:	941-473-3209

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MICHAEL F KLEIN
Credential	:
Telephone Number	:	941-473-3200

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	10/07/2009

Similar Medicare Providers

1457423972 — PATIENT CARE PHARMACY SERVICES INC
Practice Location Address:

1476 MARKET CIR , UNIT 1
PORT CHARLOTTE, FL
33953-3876

Practice Phone: 941-255-1987
Practice Fax: 941-629-5507

1780680181 — MS. BARBARA A VONTHRON NP
Practice Location Address:

3960 E HARBOR LIGHT LNDG
PORT CLINTON, OH
43452-3876

Practice Phone: 419-732-0700
Practice Fax: 419-732-0702

1730689837 — BRIDEGET N URBAN DC LLC
Practice Location Address:

3958 HARBOR LIGHT LANDING
PORT CLINTON, OH
43452-3876

Practice Phone: 330-360-2225
Practice Fax:

1295668853 — CAMERON MARIA LIGHT LM CPM
Practice Location Address:

950 TAMIAMI TRL UNIT 101
PORT CHARLOTTE, FL
33953-3102

Practice Phone: 941-249-4915
Practice Fax:

1528069192 — CARDINAL PROSTHETICS & ORTHOTICS INC
Practice Location Address:

779 TAMIAMI TRAIL , STE 8
PORT CHARLOTTE, FL
33953

Practice Phone: 941-235-0252
Practice Fax: 941-235-7273

1831118611 — DR. MARIANNE BERNADETTE JACOBS D.O.
Practice Location Address:

3109 SILKWOOD LN
PORT CHARLOTTE, FL
33953-5686

Practice Phone: 615-345-5400
Practice Fax:

Directions to “PATIENT CARE PHARMACY SERVICES, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.