ANNALICE LLC (NPI# 1629398003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629398003 |
| Entity Type | Organization |
| Organization Name | ANNALICE LLC |
| Other Organization Name | PEGASUS RX 002 PHARMACY |
| Practice Address |
6506 Embassy Blvd Port Richey FL 34668-4734 |
| Practice Telephone | 7278489400 |
| Mailing Telephone | 7278489400 |
| Mailing Fax Number | 7278489401 |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2010-10-28 |
| Authorized Official Name | NELSON OHIHOIN (PRESIDENT) |
| Authorized Official Telephone | 7275341318 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | PH24598 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 5700807 | 01 |
| Other Name | Type Code |
|---|---|
| Pegasus Rx 002 Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649593179 | Annalice LLC | Pharmacy | 1992 Alt Us Highway 19, Tarpon Springs, FL 34689 | 2010-03-11 |
| 1083848865 | Annalice LLC | Pharmacy | 115 W Belt Ave, Bushnell, FL 33513-5101 | 2009-05-08 |
| Street Address |
6506 EMBASSY BLVD |
| City | PORT RICHEY |
| State | FL |
| Zip Code | 34668-4734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457826398 | Pricare Health LLC | Clinic/Center | 6506 Embassy Blvd, Port Richey, FL 34668-4734 | 2018-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992287296 | Manuel Dejesus Correa | Counselor | 9550 Us19 Ste. 202, Port Richey, FL 34668 | 2018-09-04 |
| 1679069256 | Linda Elaine Harper Gorski | Counselor | 6745 Vinanta Ct, Port Richey, FL 34668 | 2018-07-06 |
| 1477063378 | Michelle Jean Ebbert | Hearing Instrument Specialist | 9304 U.S. Hwy N., Port Richey, FL 34668 | 2017-10-05 |
| 1013426618 | Arlene Taylor | Social Worker | 9550 Us Hwy 19, Port Richey, FL 34668 | 2017-09-26 |
| 1285143925 | Pa Group Inc | Pharmacy | 11618 Us Hwy 19, Port Richey, FL 34668 | 2017-09-26 |
| 1467971978 | Marie Waite | Social Worker | Marie Waite, 7403 Bougenville Drive, Port Richey, FL 34668 | 2017-09-15 |
| 1356890131 | Smileycares | Custodial Care Facility | 9125 Lunar Lane, Port Richey, FL 34668 | 2016-09-22 |
| 1336405109 | Staywell Pharmacy Inc. | Pharmacy | 10112 Us Hwy 19, Port Richey, FL 34668 | 2012-04-06 |
| 1821247925 | Milton Rivera | Licensed Practical Nurse | 7701 Arbordale Dr., Port Richey, FL 34668 | 2008-09-12 |
| 1518131424 | Syrnix, Inc | Durable Medical Equipment & Medical Supplies | 7200 San Miguel Dr, Port Richey, FL 34668 | 2008-04-22 |
| Find all providers in zip 34668 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811399041 | Cherysgroupllc | Pharmacy | 6237 Ridge Rd, Port Richey, FL 34668-6743 | 2014-09-18 |
| 1558858985 | Lithan LLC | Pharmacy | 6508 Embassy Blvd, Port Richey, FL 34668-4734 | 2018-04-20 |
| 1396067385 | Edr Group Inc | Pharmacy | 10806 Us Highway 19, Ste 105, Port Richey, FL 34668-2563 | 2010-02-18 |
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| 1972115103 | Intellrx Consulting LLC | Pharmacy | 1257 The 12th Fairway, Wellington, FL 33414-5738 | 2020-08-19 |
| 1518577576 | Publix Super Markets, Inc | Pharmacy | 7340 Kathleen Rd, Lakeland, FL 33810-4495 | 2020-08-05 |
| 1962011890 | Green Star Pharmacy | Pharmacy | 2950 Winkler Ave Ste 701, Fort Myers, FL 33916-9322 | 2020-07-27 |
| 1356959134 | Cverx Pharmacy Corp | Pharmacy | 7360 Sw 24th St Ste 29, Miami, FL 33155-1462 | 2020-07-17 |
| 1447877287 | Jerry Voltaire | Pharmacy | 16470 Cedar Run Dr, Orlando, FL 32828-6970 | 2020-06-27 |
| 1598381980 | John Melvin Schemm IIi | Pharmacy | 7617 Bay Port Rd, Orlando, FL 32819-5504 | 2020-06-22 |
| 1891318267 | Empire Specialty Pharmacy LLC | Pharmacy | 749 S Apollo Blvd, Melbourne, FL 32901-1457 | 2020-05-20 |
| 1992334205 | Mypills Pharmacy LLC | Pharmacy | 303a E 1st St, Sanford, FL 32771-1377 | 2020-04-07 |
| Find all providers with the same taxonomy | ||||
| City | PORT RICHEY |
| Zip Code | 34668 |
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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.