ANNALICE LLC (NPI# 1649593179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649593179 |
| Entity Type | Organization |
| Organization Name | ANNALICE LLC |
| Other Organization Name | PEGASUS RX PHARMACY |
| Practice Address |
1992 Alt Us Highway 19 Tarpon Springs FL 34689 |
| Practice Telephone | 7279386400 |
| Practice Fax Number | 7279386433 |
| Mailing Telephone | 7279386400 |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2017-03-01 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH24481 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002335600 | 05 | |
| PK | 2124203 | 01 |
| Other Name | Type Code |
|---|---|
| Pegasus Rx Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629398003 | Annalice LLC | Pharmacy | 6506 Embassy Blvd, Port Richey, FL 34668-4734 | 2010-06-08 |
| 1083848865 | Annalice LLC | Pharmacy | 115 W Belt Ave, Bushnell, FL 33513-5101 | 2009-05-08 |
| Street Address |
1992 ALT US HIGHWAY 19 |
| City | TARPON SPRINGS |
| State | FL |
| Zip Code | 34689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013408376 | Eleni D Papanou | Behavioral Analyst | 531 Maragos St., Tarpon Springs, FL 34689 | 2018-05-22 |
| 1366932220 | Scott A Earnhardt | Contractor | 1810 S. Pinellas Ave, Suite L, Tarpon Springs, FL 34689 | 2018-05-16 |
| 1104323211 | Withall & Associates Consulting, Inc. | Durable Medical Equipment & Medical Supplies | 1810 S Pinellas Ave Ste G, Tarpon Springs, FL 34689 | 2018-04-06 |
| 1659801553 | Ekaterina Carvajal Debello | Optometrist | 1965 Anclote Vista, Tarpon Springs, FL 34689 | 2017-06-14 |
| 1669921359 | Jennifer Vacco | Specialist | 612 E. Spruce Street, Tarpon Springs, FL 34689 | 2016-09-23 |
| 1497140412 | Jacobson Ma | Dentist | 40545 Us Highway 19 N Ste G, Tarpon Springs, FL 34689 | 2015-04-06 |
| 1326439613 | Joell Whitmer | Pharmacist | 1171 S Pinellas Ave, Tarpon Springs, FL 34689 | 2015-02-09 |
| 1891086351 | Carol J Chamberlain | Registered Nurse | 412 Moonings Cove Drive, Tarpon, FL 34689 | 2011-05-02 |
| 1023284270 | Am Pharma LLC | Pharmacy | 1933 Through 1935 N Pinellas Ave, Tarpon Springs, FL 34689 | 2008-05-07 |
| 1881872398 | Rod K Dietz Dds Pa | Dentist | 624 E Tarpon Ave, Tarpon Springs, FL 34689 | 2008-02-06 |
| Find all providers in zip 34689 | ||||
| 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 |
|---|---|---|---|---|
| 1346565645 | Ck Pharma | Pharmacy | 1933 N Pinellas Ave, Tarpon Springs, FL 34689-5780 | 2010-03-30 |
| 1023284270 | Am Pharma LLC | Pharmacy | 1933 Through 1935 N Pinellas Ave, Tarpon Springs, FL 34689 | 2008-05-07 |
| 1063516045 | Holiday Cvs LLC | Pharmacy | 1000 E Tarpon Ave, Tarpon Springs, FL 34689-5438 | 2006-09-12 |
| 1912928961 | Ahm Management | Pharmacy | 742 S Pinellas Ave, Tarpon Springs, FL 34689-3710 | 2006-07-22 |
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|---|---|---|---|---|
| 1649871583 | Florida Community Health Centers, Inc. | Pharmacy | 9576 S Us Highway 1, Port Saint Lucie, FL 34952-4217 | 2020-11-06 |
| 1053911883 | Nrc Pharmd Inc | Pharmacy | 2700 Immokalee Rd Ste 24, Naples, FL 34110-1437 | 2020-10-30 |
| 1073112116 | Hl72 LLC | Pharmacy | 5193 Clark Rd, Sarasota, FL 34233-3213 | 2020-10-20 |
| 1689280851 | Unique Pharmacy Corp | Pharmacy | 7800 Sw 87th Ave Ste 210b, Miami, FL 33173-2537 | 2020-09-22 |
| 1033723127 | Five Pillars Corporation | Pharmacy | 2301 N University Dr Ste 112, Pembroke Pines, FL 33024-3617 | 2020-09-04 |
| 1780297655 | Healthy Living Pharmacy LLC | Pharmacy | 755 Rosemary Cir, Bradenton, FL 34212-5015 | 2020-08-28 |
| 1326651555 | Purformance Wellness Pharmacy LLC | Pharmacy | 600 Se Indian St Ste 3, Stuart, FL 34997-5540 | 2020-08-27 |
| 1043822620 | Specialtycarerx LLC | Pharmacy | 821 N Us Highway 1 Ste A, Ormond Beach, FL 32174-4528 | 2020-08-17 |
| 1831700855 | Kingsley Rx LLC | Pharmacy | 1542 Kingsley Ave Ste 142, Orange Park, FL 32073-4547 | 2020-08-13 |
| 1104435742 | Easyscripts LLC | Pharmacy | 2601 S Military Trl Ste 1, West Palm Beach, FL 33415-7509 | 2020-07-29 |
| Find all providers with the same taxonomy | ||||
| City | TARPON SPRINGS |
| Zip Code | 34689 |
Please comment or provide details below to improve the information on ANNALICE 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.