PERFORMSPECIALTY, LLC (NPI# 1437562642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437562642 |
Entity Type | Organization |
Organization Name | PERFORMSPECIALTY, LLC |
Practice Address |
2416 Lake Orange Dr Sutie 190 Orlando FL 32837-7812 |
Mailing Address |
200 Stevens Dr Philadelphia PA 19113-1520 |
Practice Telephone | 4079561220 |
Practice Fax Number | 8444899565 |
Enumeration Date | 2014-06-05 |
Last Update Date | 2020-08-19 |
Authorized Official Name | ROBERT E TOOTLE (ASSISTANT SECRETARY) |
Authorized Official Telephone | 2159378561 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 012043200 | 05 | |
PA | 1029314380001 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558759266 | Performspecialty, LLC | Pharmacy | 2416 Lake Orange Dr, Suite 190, Orlando, FL 32837-7812 | 2015-01-05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | PerformSpecialty, LLC | 2416 Lake Orange Drive, Suite 190, Orlando, FL 32837 |
Washington State Corporations | PERFORMSPECIALTY, LLC | 2416 Lake Orange Drive, Suite 190, Orlando, FL 32837 |
Oregon Corporations, Companies and Business Names | PERFORMSPECIALTY, LLC | 2416 Lake Orange Drive Suite 190, Orlando, FL 32837 |
Indiana Business Entities | PERFORMSPECIALTY, LLC | 200 Stevens Dr, Philadelphia, PA 19113 |
Street Address |
2416 LAKE ORANGE DR SUTIE 190 |
City | ORLANDO |
State | FL |
Zip Code | 32837-7812 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336503747 | Dzicdzice Washington | Pharmacist | 2416 Lake Orange Dr, Suite 190, Orlando, FL 32837-7812 | 2016-04-12 |
1558759266 | Performspecialty, LLC | Pharmacy | 2416 Lake Orange Dr, Suite 190, Orlando, FL 32837-7812 | 2015-01-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194214684 | Advance Obgyn of Central Florida | Obstetrics & Gynecology | 4170 Town Ctr Blvd Ste 104, Orlando, FL 32837 | 2018-05-09 |
1881124543 | Shivonne Champatsingh | Respiratory Therapist, Registered | 2730 Rolling Broak Drive, Orlando, FL 32837 | 2017-06-15 |
1881133858 | Peter Connole | Specialist/Technologist | 11066 Crystal Glen Blvd, Orlando, FL 32837 | 2017-02-23 |
1154779023 | Lemille Ruiz | Case Manager/Care Coordinator | 12925 Lslamorada Dr, Orlando, FL 32837 | 2016-06-01 |
1952776650 | Maryolys Rojas | Case Management | 2875 Woodruff Dr, Orlando, FL 32837 | 2015-12-07 |
1407230998 | Isis Cancel | Case Manager/Care Coordinator | 1136 Courtney Chase Circle, Apt 711, Orlando, FL 32837 | 2015-07-14 |
1306242771 | Robin Mcdonough | Counselor | 11020 Regency Commons Ct, Orlando, FL 32837 | 2014-11-13 |
1952720484 | Monisha Louis | Physical Therapist | 4445 Gywndale Ct., Orlando, FL 32837 | 2014-04-11 |
1194141028 | Florida Em-i Medical Services, Pa | Physician Assistant | 12100 South John Young Parkway, Orlando, FL 32837 | 2014-03-17 |
1366871394 | Isse Song Pa | Dentist | 12554 S John Young Parkway, 104, Orlando Florida, FL 32837 | 2013-11-12 |
Find all providers in zip 32837 |
Taxonomy Code | 3336S0011X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Specialty Pharmacy |
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
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 |
---|---|---|---|---|
1467909580 | Walgreen Specialty Pharmacy LLC | Pharmacy | 8325 S Park Cir, Ste 200, Orlando, FL 32819-9075 | 2016-09-07 |
1376924266 | Univita of Florida, Inc. | Pharmacy | 2252 Commerce Park Dr Ste 100, Orlando, FL 32819-8609 | 2015-06-16 |
1114317898 | Life Worth Living Foundation Inc | Pharmacy | 6488 Currin Dr, Orlando, FL 32835-6207 | 2015-02-02 |
1750623641 | Jnt Healthcare LLC | Pharmacy | 1745 W Oak Ridge Rd, Orlando, FL 32809-3909 | 2013-03-19 |
1457618555 | Prime Therapeutics Specialty Pharmacy LLC | Pharmacy | 2354 Commerce Park Drive, Suite 100, Orlando, FL 32819 | 2012-04-13 |
1013934413 | Wal-mart Stores East Lp | Pharmacy | 9600 Parksouth Ct Ste 120, Suite 120, Orlando, FL 32837-6424 | 2006-07-16 |
1164472825 | Aids Healthcare Foundation | Pharmacy | 1701 N Mills Ave, Orlando, FL 32803-1851 | 2006-05-11 |
1528589439 | Publix Super Markers, Inc | Pharmacy | 1950 Sand Lake Rd Bldg 5, Orlando, FL 32809-7632 | 2017-06-30 |
1639524010 | Dr. Mark Bornstein Pharmacy | Pharmacy | 701 E Michigan St, Orlando, FL 32806-4623 | 2016-05-04 |
1558759266 | Performspecialty, LLC | Pharmacy | 2416 Lake Orange Dr, Suite 190, Orlando, FL 32837-7812 | 2015-01-05 |
Find all providers in ORLANDO |
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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.