OMNICARE PHARMACY OF FLORIDA, LLC (NPI# 1952346199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952346199 |
| Entity Type | Organization |
| Organization Name | OMNICARE PHARMACY OF FLORIDA, LLC |
| Other Organization Name | OMNICARE OF CENTRAL FLORIDA #48229 |
| Practice Address |
4150 Church St Suite 1030 Sanford FL 32771-6991 |
| Mailing Address |
1 Cvs Drive Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4072615800 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2019-10-16 |
| Authorized Official Name | SUSAN COLBERT (SR DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PH 19005 | FL | Suppliers |
| Other Name | Type Code |
|---|---|
| Omnicare of Central Florida | Doing Business As Name - Organization |
| Omnicare of Central Florida #48229 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174886964 | Omnicare Pharmacy of Florida, LLC | Pharmacy | 130 Waterman Ave, Mount Dora, FL 32757-9519 | 2012-06-18 |
| 1609804376 | Omnicare Pharmacy of Florida, LLC | Pharmacy | 2955 W Corporate Lakes Blvd, Suite 600, Weston, FL 33331-3626 | 2006-06-29 |
| 1821033002 | Omnicare Pharmacy of Florida, LLC | Pharmacy | 2605 W 23rd St, Panama City, FL 32405-2339 | 2006-06-19 |
| 1538104732 | Omnicare Pharmacy of Florida, LLC | Pharmacy | 8603 Florida Mining Blvd, Tampa, FL 33634 | 2006-06-19 |
| 1033154232 | Omnicare Pharmacy of Florida, LLC | Pharmacy | 9143 Philips Hwy, #533, Jacksonville, FL 32256-1348 | 2006-06-19 |
| Street Address |
4150 CHURCH ST SUITE 1030 |
| City | SANFORD |
| State | FL |
| Zip Code | 32771-6991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295293504 | Tara Dasilva | Pharmacist | 4150 Church St, Sanford, FL 32771-6991 | 2019-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134695224 | Sheena L Grayson | Pharmacist | 4942 W State Rd 46, Suite 1014, Sanford, FL 32771 | 2018-10-16 |
| 1699284299 | Christopher Ryan King | Chiropractor | 1026 Old England Loop, Sanford, FL 32771 | 2017-09-26 |
| 1669991345 | Scarlett Sierra | Counselor | 401 W Seminole Blvd, Sanford, FL 32771 | 2017-09-14 |
| 1881132249 | Tracy Shibla | Nurse Practitioner | 2320 Retreat View Cir, Sanford, FL 32771 | 2017-02-06 |
| 1205387206 | Tabitha Boyd | Behavior Technician | 4136 Geranium Ln #102, Sanford, FL 32771 | 2016-10-14 |
| 1104275874 | Jessica Willis | Nurse Anesthetist, Certified Registered | 108 Temple Dr, Sanford, FL 32771 | 2016-06-03 |
| 1013379957 | Bai Medical LLC | Point of Service | 580 Lexington Green Lane, Sanford, FL 32771 | 2016-03-21 |
| 1710347851 | Melissa T Ramsawak | Nurse Practitioner | 4930 East Lake Mary Boulevard, Sanford, FL 32771 | 2016-03-02 |
| 1811394570 | Tanesha Burns | Counselor | 209 San Carlos Ave Ste 111a, Sanford, FL 32771 | 2014-11-24 |
| 1053717322 | Amy Hertz, Dmd and Minta Lopez-torres, Dmd | Dentist | 5030 West Sr 46, Suite 1018, Sanford, FL 32771 | 2014-11-13 |
| Find all providers in zip 32771 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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] |
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| 1275894156 | Reliance Rx, Inc. | Pharmacy | 1600 S 3rd St, Sanford, NC 27330-5662 | 2012-06-06 |
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| 1477186724 | Central Tampa Pharmacy LLC | Pharmacy | 5010 N 40th St Ste 201, Tampa, FL 33610-5202 | 2020-02-14 |
| 1790317311 | Specialty Rx Fl, LLC | Pharmacy | 15461 Sw 12th St Ste 108, Sunrise, FL 33326-1996 | 2020-02-11 |
| 1700426970 | Shambhu Inc. | Pharmacy | 19214 Nw Us Highway 441 Ste 10, High Springs, FL 32643-8783 | 2020-01-15 |
| 1205475175 | Lordoni Discount Pharmacy Inc | Pharmacy | 6300 N Wickham Rd Ste 126, Melbourne, FL 32940-2037 | 2019-12-24 |
| 1063059673 | Mdp Products and Services | Pharmacy | 6602 Stirling Rd, Hollywood, FL 33024-1954 | 2019-12-02 |
| Find all providers with the same taxonomy | ||||
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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.