MEDOZ PHARMACY OF OSCEOLA INC (NPI# 1083921860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083921860 |
| Entity Type | Organization |
| Organization Name | MEDOZ PHARMACY OF OSCEOLA INC |
| Other Organization Name | MEDOZ PHARMACY OF OSCEOLA INC |
| Practice Address |
720 W Oak St Ste 114 Kissimmee FL 34741-4989 |
| Practice Telephone | 4073742550 |
| Practice Fax Number | 4073474097 |
| Mailing Telephone | 4073742550 |
| Mailing Fax Number | 4073474097 |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2012-09-17 |
| Authorized Official Name | UDAYKUMAR DESAI (CEO) |
| Authorized Official Telephone | 4073742550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
24831 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 106499034 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 5701556 | 01 |
| Other Name | Type Code |
|---|---|
| MEDOZ PHARMACY OF OSCEOLA INC | Doing Business As Name - Organization |
| Street Address |
720 W OAK ST STE 114 |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34741-4989 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407842016 | Philip Demetrios Kondylis | Colon & Rectal Surgery | 720 W Oak St, Suite 360, Kissimmee, FL 34741-4989 | 2005-09-20 |
| 1861029647 | Abhijit Arun Marathe | Student in an Organized Health Care Education/Training Program | 720 W Oak St, Kissimmee, FL 34741-4989 | 2020-03-24 |
| 1831725787 | Michael Delzoppo | Student in an Organized Health Care Education/Training Program | 720 W Oak St, Kissimmee, FL 34741-4989 | 2020-03-22 |
| 1760973440 | Mouhamed Diop | Student in an Organized Health Care Education/Training Program | 720 W Oak St, Kissimmee, FL 34741-4989 | 2018-05-29 |
| 1447798954 | Hunaldo J. Villalobos, M.d., P.a. | General Practice | 720 W Oak St, Suite 111, Kissimmee, FL 34741-4989 | 2017-02-03 |
| 1790056760 | Eddid David Colon Cruz | Emergency Medicine | 720 W Oak St, Kissimmee, FL 34741-4989 | 2012-01-23 |
| 1912214941 | Helen Kraus Md Pa | Surgery | 720 W Oak St, Suite 105, Kissimmee, FL 34741-4989 | 2010-09-13 |
| 1063671089 | Orlando Infectious Disease Consultancy Services Pl | Internal Medicine | 720 W Oak St, Kissimmee, FL 34741-4989 | 2008-06-05 |
| 1134304884 | Retina Macula Specialists Pllc | Specialist | 720 W Oak St, Suite 301, Kissimmee, FL 34741-4989 | 2007-12-31 |
| 1518003623 | Robert Fietsam Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 720 W Oak St, Suite 360, Kissimmee, FL 34741-4989 | 2007-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239834 | Kathia I Torres Cintron | Occupational Therapy Assistant | 201 Park Place Blvd Kissimmee Fl 347, Kissimmee, FL 34741 | 2020-06-08 |
| 1992340046 | Zynia Spencer | Marriage & Family Therapist | 345 W. Oak St., Kissimmee, FL 34741 | 2019-11-13 |
| 1225597784 | Leila Rosado | Counselor | All Family, 120 Broadway Suite 204, Kissimmee, FL 34741 | 2019-03-14 |
| 1235610312 | Yashirah Castillo | Behavior Technician | 230 Country Blvd, Apt 6, Kissimmee, FL 34741 | 2018-08-27 |
| 1376021352 | Julio Cesar Castellanos | Nurse Practitioner | 1050 W Carroll St Apt 149, Kissimmee, FL 34741 | 2018-08-01 |
| 1245724715 | Sonia Teresa Rodriguez | Counselor | 3438 W. Vine Street, Kissimmee, FL 34741 | 2018-06-19 |
| 1700376316 | Jessica Mateo | Social Worker | 111 E Monument Ave Unit 412, Kissimmee, FL 34741 | 2018-05-18 |
| 1306340880 | George Gianakakos | Psychiatry & Neurology | 720 W. Oak St., Suite 360, Kissimmee, FL 34741 | 2018-03-20 |
| 1154825693 | Mary Catherine Slome | Student in an Organized Health Care Education/Training Program | 720 W. Oat Street, Ste. 201, Kissimmee, FL 34741 | 2018-03-20 |
| 1457855991 | Sherwin Zachariah Thomas | Student in an Organized Health Care Education/Training Program | 720 W. Oak St., Ste 201, Kissimmee, FL 34741 | 2018-03-20 |
| Find all providers in zip 34741 | ||||
| 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 |
|---|---|---|---|---|
| 1588107528 | Sunrise Pharmacy of Kissimmee LLC | Pharmacy | 4543 Pleasant Hill Rd Ste D, Kissimmee, FL 34759-3406 | 2016-11-23 |
| 1518312909 | Iglesia Bautista Central De Kissimmee, Inc. | Pharmacy | 1420 Simpson Rd, Kissimmee, FL 34744-4600 | 2016-05-04 |
| 1336561364 | C&m Healthpro LLC | Pharmacy | 1530-b W Vine St, Kissimmee, FL 34741 | 2014-01-10 |
| 1447688452 | Ritemed Pharmacy | Pharmacy | 1014 Cypress Pkwy, Kissimmee, FL 34759-3328 | 2013-10-30 |
| 1871842666 | The Hunter's Creek, LLC | Pharmacy | 1196 Cypress Glen Cir., Kissimmee, FL 34741 | 2012-09-07 |
| 1588952030 | Pharmacy 4u Inc | Pharmacy | 1026 Mann St, Kissimmee, FL 34741-4121 | 2011-07-19 |
| 1588999429 | Joseykay Consultant Services, Inc | Pharmacy | 406 E Vine St, Kissimmee, FL 34744-4274 | 2009-10-09 |
| 1588893184 | Colonial Drugs of Kissimmee, LLC | Pharmacy | 728 N John Young Pkwy, Kissimmee, FL 34741-4985 | 2009-07-06 |
| 1871739219 | Holiday Cvs LLC | Pharmacy | 3200 Rolling Oaks Blvd, Kissimmee, FL 34747-3052 | 2009-01-06 |
| 1417123555 | Walgreen Co. | Pharmacy | 3769 Pleasant Hill Rd, Kissimmee, FL 34746-2937 | 2008-05-07 |
| Find all providers in KISSIMMEE | ||||
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| 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.