MED 1ST LLC (NPI# 1174645477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174645477 |
| Entity Type | Organization |
| Organization Name | MED 1ST LLC |
| Other Organization Name | MED 1ST |
| Practice Address |
11206 Challenger Ave Unit D Odessa FL 33556-3482 |
| Practice Telephone | 7273759898 |
| Practice Fax Number | 7273759870 |
| Mailing Telephone | 7273759898 |
| Mailing Fax Number | 7273759870 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2009-08-31 |
| Authorized Official Name | TERENCE WILLIAMS (CO OWNER) |
| Authorized Official Telephone | 7273759898 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
PH22474 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1025370 | 01 |
| Other Name | Type Code |
|---|---|
| MED 1ST | Doing Business As Name - Organization |
| Street Address |
11206 CHALLENGER AVE UNIT D |
| City | ODESSA |
| State | FL |
| Zip Code | 33556-3482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773890 | Asc of Trinity | Clinic/Center | 15238 Virginia Station, Odessa, FL 33556 | 2020-09-03 |
| 1700409240 | All In One Dme LLC | Durable Medical Equipment & Medical Supplies | 17086 Simms Road, Odessa, FL 33556 | 2020-05-19 |
| 1578123287 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 13589 State Road 54, Odessa, FL 33556 | 2019-06-14 |
| 1790244267 | Gabriela Fernandez Strickland | Psychologist | 16117 Lytham Drive, Odessa, FL 33556 | 2019-03-14 |
| 1699288266 | Melissa Knight | Pharmacist | 12515 Hitching St, Odessa, FL 33556 | 2017-11-06 |
| 1144604109 | Maria Litak | Pharmacist | 12500 State Road 54, Odessa, FL 33556 | 2015-07-19 |
| 1366671927 | Manik S Bedi | Dentist | 17751 Gunn Hwy, Odessa, FL 33556 | 2009-07-03 |
| 1043295090 | Kathleen Young Harrell | Nurse Practitioner | 17121 Rainbow Terrace, Odessa, FL 33556 | 2005-12-13 |
| 1558854281 | Thianna Marie Diamandis | Assistant Behavior Analyst | 16414 Lake Church Dr, Odessa, FL 33556 | 2018-06-07 |
| 1508384124 | Lacie Gunter | Behavior Technician | 16414 Lake Church Dr, Odessa, FL 33556 | 2017-09-04 |
| Find all providers in zip 33556 | ||||
| Taxonomy Code | 3336M0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Managed Care Organization Pharmacy |
| A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO’s covered members only. |
| 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 |
|---|---|---|---|---|
| 1285263871 | Dominique Nguyen | Pharmacy | 3820 Northdale Blvd Ste 311a, Tampa, FL 33624-1857 | 2020-04-06 |
| 1467964494 | Florida Health Care Plan, Inc | Pharmacy | 200 Southpark Blvd Ste 206, St Augustine, FL 32086-3129 | 2017-10-31 |
| 1669912184 | We Are One Medical Group Inc. | Pharmacy | 3169 Carthage Ct, Orlando, FL 32837-9032 | 2017-03-02 |
| 1568748010 | Advanced Rx Management | Pharmacy | 5315 Avion Park Dr Ste 120, Tampa, FL 33607-1461 | 2011-10-28 |
| 1457477689 | Leon Medical Centers LLC | Pharmacy | 8888 Coral Way, Miami, FL 33165-2008 | 2007-03-21 |
| 1336209568 | Davita Medical Florida, Inc. | Pharmacy | 1931 W Lumsden Rd, Brandon, FL 33511-8819 | 2006-12-11 |
| 1063572295 | Optumcare Florida, LLC | Pharmacy | 4757 Us Highway 19, New Port Richey, FL 34652-4945 | 2006-12-11 |
| 1316958952 | Exp Pharmacy Svc of Fl LLC | Pharmacy | 8275 Bryan Dairy Rd, Largo, FL 33777-1324 | 2006-08-10 |
| 1184040628 | Florida Health Care Plan Inc | Pharmacy | 707 Platinum Pt, Lake Mary, FL 32746-5702 | 2014-03-07 |
| 1598922049 | Consulting Results Inc. | Pharmacy | 10876 La Salinas Cir, Boca Raton, FL 33428-1235 | 2008-05-21 |
| Find all providers with the same taxonomy | ||||
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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.