FENIX DRUG STORE, LLC (NPI# 1649811506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649811506 |
| Entity Type | Organization |
| Organization Name | FENIX DRUG STORE, LLC |
| Practice Address |
527 13th St W Bradenton FL 34205 |
| Practice Telephone | 8885111517 |
| Mailing Telephone | 8885111517 |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |
| Authorized Official Name | MELISSA HOLMES (MANAGING MEMBER) |
| Authorized Official Telephone | 8885111517 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PHARMACY LICENSE | PH32150 | 01 |
| Street Address |
527 13TH ST W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326534702 | Elaine Benitez Vazquez | Developmental Therapist | 3800 Lake Bayshore Dr Apt 513, Bradenton, FL 34205 | 2018-07-09 |
| 1437519402 | Kenneth G Bannister | Massage Therapist | 302 26th Avenue East, Apt 101, Bradenton, FL 34205 | 2016-03-03 |
| 1780028415 | Nic 4 Summerfield Leasing LLC | Assisted Living Facility | 3409 26th St. W., Bradenton, FL 34205 | 2013-04-24 |
| 1275803017 | Jennifer Geanne Washington | Massage Therapist | 1901 9th Ave W, Bradenton, FL 34205 | 2012-01-11 |
| 1629352745 | Susan K Stone | Acupuncturist | 2620 Manatee Avenue W., Suite C, Bradenton, FL 34205 | 2011-10-07 |
| 1588957609 | Palma Sola Therapies LLC | Physical Medicine & Rehabilitation | 515 36th St., Suite D, Bradenton, FL 34205 | 2011-05-23 |
| 1023254836 | Halle Kranz | Counselor | 239 301 Blvd W, Bradenton, FL 34205 | 2008-12-29 |
| 1235389537 | Aisha Mohsin Malik | Psychiatry & Neurology | 200 3rd Avenue West, Suite 110, Bradenton, FL 34205 | 2008-09-23 |
| 1689895146 | Brenda Marie Wilson | Counselor | Manatee Service Center, 600 301 Blvd - Suite 144, Bradenton, FL 34205 | 2007-05-01 |
| 1720116916 | Daniel J. Serpentelli IIi | Chiropractor | 3806 Manatee Ave West, Suite 100, Bradenton, FL 34205 | 2007-03-01 |
| Find all providers in zip 34205 | ||||
| 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 |
|---|---|---|---|---|
| 1780297655 | Healthy Living Pharmacy LLC | Pharmacy | 755 Rosemary Cir, Bradenton, FL 34212-5015 | 2020-08-28 |
| 1134789639 | Costco Wholesale Corporation | Pharmacy | 805 Lighthouse Dr., Bradenton, FL 34212 | 2019-06-17 |
| 1831657782 | Pnh LLC | Pharmacy | 4418 E State Road 64, Bradenton, FL 34208-9061 | 2019-03-11 |
| 1811468143 | Life Pharmacy Inc | Pharmacy | 4144 Lakewood Ranch Blvd, Bradenton, FL 34211 | 2018-12-16 |
| 1770069361 | America's Pharmacy LLC. | Pharmacy | 5612 14th St W, Bradenton, FL 34207 | 2018-07-17 |
| 1841537826 | Fort Myers Beach Pharmacy | Pharmacy | 1003 8th Ave W, Bradenton, FL 34205-7709 | 2013-01-10 |
| 1285945386 | Swastik Rx LLC | Pharmacy | 2110 Manatee Ave E, Bradenton, FL 34208-1660 | 2010-06-23 |
| 1861718892 | Sonee Pharmacy Services Inc | Pharmacy | 6229 14th St W, Bradenton, FL 34207-4611 | 2010-04-15 |
| 1134359805 | David M Williams Enterprises, LLC | Pharmacy | 1824 59th St W, Bradenton, FL 34209-4630 | 2009-07-16 |
| 1295933299 | Manasota Pharmacy Services LLC | Pharmacy | 1407 57th Ave W, Bradenton, FL 34207-3646 | 2007-07-11 |
| Find all providers in BRADENTON | ||||
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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.