Mitchell Custom Care
NPI 1720246663ActiveOrganization· Pharmacy, Compounding Pharmacy· Riverview, FL
Pharmacy, Compounding Pharmacy in Riverview, Florida, registered in NPPES in May 2008. The authorized official on file is Leott Wydetic, PHRMD, Owner.
Overview
| NPI | 1720246663 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 28, 2008 |
| Last updated in NPPES | Apr 1, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | PH23267 | FL |
| Pharmacy | 333600000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|