PRIME THERAPEUTICS SPECIALTY PHARMACY LLC (NPI# 1457618555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457618555 |
| Entity Type | Organization |
| Organization Name | PRIME THERAPEUTICS SPECIALTY PHARMACY LLC |
| Other Organization Name | ALLIANCERX WALGREENS PRIME #16568 |
| Practice Address |
2354 Commerce Park Drive Suite 100 Orlando FL 32819 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 4075914060 |
| Mailing Telephone | 2177092386 |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2019-01-31 |
| Authorized Official Name | ALYSSA SWEETEN (MANAGER) |
| Authorized Official Telephone | 2177092386 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PH26061 | FL | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300021022 | 05 | |
| NM | 86982362 | 05 | |
| NCPDP | 5710098 | 01 | |
| FL | BOARD OF PHARMACY | PH26061 | 01 |
| MI | 1457618555 | 05 | |
| IL | 260076803003 | 05 |
| Other Name | Type Code |
|---|---|
| AllianceRx Walgreens Prime #16568 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972698702 | Prime Therapeutics Specialty Pharmacy LLC | Pharmacy | 2901 Kinwest Parkway Bldg B, Suite 250, Irving, TX 75063 | 2006-10-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Prime Therapeutics Specialty Pharmacy LLC | 300 Wilmot Road, Deerfield, IL 60015 |
| Iowa Business Entities | PRIME THERAPEUTICS SPECIALTY PHARMACY LLC | 2354 Commerce Center Drive Suite 100, Orlando, FL 32819 |
| Washington State Corporations | PRIME THERAPEUTICS SPECIALTY PHARMACY LLC | 300 Wilmot Rd, Deerfield, IL 60015-4614 |
| Oregon Corporations, Companies and Business Names | PRIME THERAPEUTICS SPECIALTY PHARMACY LLC | 300 Wilmot Road, Deerfield, IL 60015 |
| North Carolina Corporations | Prime Therapeutics Specialty Pharmacy LLC | 2625 Glenwood Avenue Suite 550, Raleigh, NC 27608 |
| New York State Corporations | PRIME THERAPEUTICS SPECIALTY PHARMACY LLC | 80 State Street, Albany, New York 12207-2543 |
| Connecticut Business Registrations | PRIME THERAPEUTICS SPECIALTY PHARMACY LLC | 1305 Corporate Center Drive, Eagan, MN 55121 |
| Massachusetts Corporations | PRIME THERAPEUTICS SPECIALTY PHARMACY LLC | 1305 Corporate Center Drive, Eagan, MN 55121 |
| Vermont Business Registrations | PRIME THERAPEUTICS SPECIALTY PHARMACY LLC | 1305 Corporate Center Drive, Eagan, MN 55121 |
| Oklahoma Business Registrations | PRIME THERAPEUTICS SPECIALTY PHARMACY LLC | 1305 Corporate Center Drive, Eagan, MN 55121 |
| Street Address |
2354 COMMERCE PARK DRIVE SUITE 100 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942727276 | Nichol Marrero Nieves | Pharmacist | 2354 Commerce Park Drive, Suite 100, Orlando, FL 32819 | 2017-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093356842 | Crew Community Health, Inc | Internal Medicine | 8601 Commodity Circle, Orlando, FL 32819 | 2019-10-03 |
| 1437704756 | Byron Martin Randolph | Physical Therapist | 7932 Sand Lake Rd Ste 203, Orlando, FL 32819 | 2019-08-04 |
| 1225536303 | Alliance Dme LLC | Durable Medical Equipment & Medical Supplies | 7031 Grand National Dr Ste 106b, Orlando, FL 32819 | 2018-01-24 |
| 1417465584 | Marckenson Gerson Janvier | Nurse Practitioner | 9401 Turkey Lake Rd, Orlando, FL 32819 | 2018-01-11 |
| 1871003442 | Sabeen Hasni | Pharmacist | 2354 Commerce Park Drive Ste 100, Orlando, FL 32819 | 2017-10-09 |
| 1902343775 | Darleen Walker | Occupational Therapist | 7243 Della Dr., Orlando, FL 32819 | 2017-01-31 |
| 1215483565 | Krista Richardson | Physical Therapist | 9102 Universal Blvd., Orlando, FL 32819 | 2016-08-28 |
| 1841646536 | Kiara Serrano | Social Worker | 7509 Pinemount Dr, Orlando, FL 32819 | 2016-05-11 |
| 1659749752 | Angels for Kids On-call | Case Management | 7550 Future Drive Suite 105, Orlando, FL 32819 | 2015-09-04 |
| 1932589462 | Krista Jean Cain | Counselor | 7758 Wallace Rd Ste Vi, Orlando, FL 32819 | 2015-05-29 |
| Find all providers in zip 32819 | ||||
| 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 |
|---|---|---|---|---|
| 1306452974 | Curry Ford Pharmacy LLC | Pharmacy | 4538 Curry Ford Rd, Orlando, FL 32812-2711 | 2020-09-19 |
| 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 |
| 1619431665 | Health Care Center for The Homeless Inc | Pharmacy | 4426 Old Winter Garden Rd, Orlando, FL 32811 | 2019-01-24 |
| 1144713850 | Eir Health LLC | Pharmacy | 120 E Marks St, Ste 250, Orlando, FL 32803-3857 | 2018-06-08 |
| 1558862086 | Keyona LLC | Pharmacy | 7790 Lake Underhill Rd Ste 104, Orlando, FL 32822-8216 | 2018-02-21 |
| 1659822799 | Orlando Health Inc | Pharmacy | 7243 Della Dr Ste F, Orlando, FL 32819-5106 | 2016-10-24 |
| 1598215675 | Tristar Discount Pharmacy LLC | Pharmacy | 1502 N Semoran Blvd Ste 154, Orlando, FL 32807-3545 | 2016-10-12 |
| 1437514544 | Pack4u Corp | Pharmacy | 7531 Currency Dr, Orlando, FL 32809-6922 | 2015-12-17 |
| 1073978110 | Jtj Medical Supply Inc | Pharmacy | 1301 W Colonial Dr Ste 102, Orlando, FL 32804-7133 | 2015-12-16 |
| 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.