MAGELLAN RX PHARMACY LLC (NPI# 1558738864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558738864 |
| Entity Type | Organization |
| Organization Name | MAGELLAN RX PHARMACY LLC |
| Other Organization Name | MAGELLAN RX PHARMACY |
| Practice Address |
6870 Shadowridge Dr Ste 111 Orlando FL 32812-9002 |
| Mailing Address |
6870 Shadowridge Dr Ste 111 Orlando FL 32812-9002 |
| Practice Telephone | 8665542673 |
| Practice Fax Number | 8663642673 |
| Mailing Telephone | 8665542673 |
| Mailing Fax Number | 8663642673 |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2017-03-22 |
| Authorized Official Name | KUO WONG (VP PHARMACY OPERATIONS) |
| Authorized Official Telephone | 8665542673 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
PH19541 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1612421 | 05 | |
| TN | 1528692 | 05 | |
| VT | 1245241884 | 05 | |
| WA | 1245241884 | 05 | |
| MO | 600200927 | 05 | |
| PK | 2153807 | 01 | |
| ID | 1245241884 | 05 | |
| PA | 101323804-0002 | 05 | |
| OK | 200412310A | 05 | |
| SC | 7F9541 | 05 | |
| MI | 1245241884 | 05 | |
| WI | 1245241884 | 05 | |
| MN | 1245241884 | 05 | |
| VA | 1245241884 | 05 | |
| CT | 1245241884 | 05 | |
| IN | 200855460A | 05 | |
| IL | 513347297001 | 05 | |
| AZ | 589259 | 05 | |
| ME | 1245241884 | 05 | |
| OH | 1245241884 | 05 | |
| MD | 415778800 | 05 | |
| CO | ATN66122 | 05 | |
| FL | 031904000 | 05 | |
| NE | 100265185-00 | 05 | |
| NH | 30708673 | 05 | |
| NJ | 538884 | 05 | |
| KY | 54012687 | 05 |
| Other Name | Type Code |
|---|---|
| Magellan Rx Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245241884 | Magellan Rx Pharmacy LLC | Pharmacy | 6870 Shadowridge Dr, Ste 111, Orlando, FL 32812-9002 | 2006-08-10 |
| 1356790364 | Magellan Rx Pharmacy LLC | Pharmacy | 2256 S 3600 W Ste A, Salt Lake City, UT 84119-1124 | 2016-06-09 |
| Street Address |
6870 SHADOWRIDGE DR STE 111 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32812-9002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003328105 | Isaac Mcgee | Pharmacist | 6870 Shadowridge Dr Ste 111, Orlando, FL 32812-9002 | 2017-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770182651 | Sarah Danielle Combs | Specialist/Technologist | 4521 Lenmore Street, Orlando, FL 32812 | 2020-10-21 |
| 1750843405 | Heather Louise Anderson | Physician Assistant | 5422 Lewiston St, Orlando, FL 32812 | 2019-04-02 |
| 1437666955 | Martika Haggerty | Community Health Worker | 3708 South Conway Road, Orlando, FL 32812 | 2018-01-05 |
| 1407370737 | Mary Brooks | Nurse Practitioner | 3788 Gatlin Place Circle, Orlando, FL 32812 | 2017-07-28 |
| 1730602012 | Kimberly S Arenburg | Licensed Practical Nurse | 2452 S. Conway Rd, Apt 337, Orlando, FL 32812 | 2017-07-19 |
| 1710409388 | Deborah Larson Catron | Massage Therapist | 4848 Berrywood Drive, Orlando, FL 32812 | 2017-07-14 |
| 1689108268 | Royal Transportation Group LLC | Taxi | 3835 Mccoy Road, Orlando, FL 32812 | 2017-04-20 |
| 1205289980 | Yania Bradshaw | Behavioral Analyst | 5212 Lake Margaret Dr., Apt 1210, Orlando, FL 32812 | 2016-07-19 |
| 1730552548 | Sarah Jean Pommier | Counselor | 5120 Louvre Ave, Belle Isle, FL 32812 | 2015-11-03 |
| 1528459336 | Minh Ethan Duc Dang | Physician Assistant | 5058 South Conway Rd, Orlando, FL 32812 | 2015-02-16 |
| Find all providers in zip 32812 | ||||
| Taxonomy Code | 3336M0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Mail Order Pharmacy |
| A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states. |
| 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 |
|---|---|---|---|---|
| 1336326784 | One Source Pharmacy, LLC | Pharmacy | 6404 Old Winter Garden Rd, Ste 100, Orlando, FL 32835 | 2008-01-29 |
| 1285852939 | Benescript Corp | Pharmacy | 7501 Currency Dr, Orlando, FL 32809-6922 | 2007-04-20 |
| 1740295922 | Walgreens Mail Service, Inc. | Pharmacy | 8337 S Park Cir, Orlando, FL 32819-9049 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245875616 | Zeta Meds | Pharmacy | 3850 Se 58th Ave, Ocala, FL 34480-7467 | 2019-11-08 |
| 1063976777 | Hiya Rx, LLC | Pharmacy | 1140 E Van Fleet Dr, Bartow, FL 33830-7626 | 2019-01-27 |
| 1316483258 | Mailmyprescriptions Com Pharmacy Corporation | Pharmacy | 622 Banyan Trl Ste 614, Boca Raton, FL 33431-5614 | 2017-01-17 |
| 1114477122 | Benecord Central Fill of Fl LLC | Pharmacy | 28000 Spanish Wells Blvd, Bonita Springs, FL 34135-2850 | 2016-10-13 |
| 1699195164 | Librty for All Pharmacy | Pharmacy | 3034 S Jog Road, Lake Woth, FL 33467-0000 | 2014-04-23 |
| 1053737015 | A&r Pharmacy | Pharmacy | 1201 Us Highway 1 Ste 248, North Palm Beach, FL 33408-8506 | 2014-03-13 |
| 1093143570 | Ergogenic Labs LLC | Pharmacy | 11496 Pierson Rd Ste C6, Wellington, FL 33414-8708 | 2013-10-21 |
| 1699113902 | Med Care Choice Pharmacy, Inc. | Pharmacy | 3570 Consumer St, 8, Riviera Beach, FL 33404-1740 | 2013-06-08 |
| 1386998623 | Lbg Holdings LLC | Pharmacy | 2864 W Main St, Leesburg, FL 34748-4631 | 2012-11-08 |
| 1144576463 | Aventura Rx Pharmacy Inc | Pharmacy | 18749 W Dixie Hwy, Miami, FL 33180-2617 | 2012-07-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MAGELLAN RX PHARMACY LLC.
| 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.