SUNRISE PHARMACY OF KISSIMMEE LLC (NPI# 1588107528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588107528 |
| Entity Type | Organization |
| Organization Name | SUNRISE PHARMACY OF KISSIMMEE LLC |
| Other Organization Name | SUNRISE PHARMACY |
| Practice Address |
4543 Pleasant Hill Rd Ste D Kissimmee FL 34759-3406 |
| Practice Telephone | 4073434434 |
| Practice Fax Number | 4073434435 |
| Mailing Telephone | 4073434434 |
| Mailing Fax Number | 4073434435 |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2018-12-08 |
| Authorized Official Name | VAMSEE NALAGANDLA (MEMBER/MANAGER) |
| Authorized Official Telephone | 4073434434 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
30414 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2165964 | 01 |
| Other Name | Type Code |
|---|---|
| SUNRISE PHARMACY | Doing Business As Name - Organization |
| Street Address |
4543 PLEASANT HILL RD STE D |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34759-3406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427671767 | Touched By Harmony Home Care, LLC | Chore Provider | 1152 Hudson Harbor Ln, Kissimmee, FL 34759 | 2020-05-21 |
| 1588132211 | Enante Napoleon | Clinic/Center | 1406 Swan Court, Kissimmee, FL 34759 | 2018-11-12 |
| 1366938383 | Diana Esther Baker Velez | Case Manager/Care Coordinator | 2202 Rio Grande Canyon Loop, Kissimmee, FL 34759 | 2018-07-02 |
| 1558863530 | Cladyana Martinez Couvertier | Specialist/Technologist | 316 Edgewood Ct, Kissimmee, FL 34759 | 2018-03-06 |
| 1609397330 | Michelle Echevarria | Counselor | 1413 Kissimme Dr, Kissimmee, FL 34759 | 2017-07-03 |
| 1326599549 | Sheila Ramos | Social Worker | 335 Drum Court, Kissimmee, FL 34759 | 2016-10-24 |
| 1790155976 | Yajaira Rivera | Counselor | 1908 Huron Terrace, Poinciana, FL 34759 | 2015-10-01 |
| 1508280371 | Teamwork International Corp | Family Medicine | 1082 Cypress Parkway, Kissimmee, FL 34759 | 2014-02-13 |
| 1922433077 | Pearl Ann Arrita Shiwram | Technician, Pathology | 703 Antelope Way, Kissimmee, FL 34759 | 2013-09-09 |
| 1609215912 | Nosky P.a. | Dermatology | 512 Cypress Parkway, Poinciana, FL 34759 | 2013-06-19 |
| Find all providers in zip 34759 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1508058553 | Encore Pharmacy Discount Inc | Pharmacy | 105 E Monument Ave, Kissimmee, FL 34741-5761 | 2007-08-14 |
| 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.