ELLENTON DISCOUNT PHARMACY LLC (NPI# 1780103481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780103481 |
| Entity Type | Organization |
| Organization Name | ELLENTON DISCOUNT PHARMACY LLC |
| Other Organization Name | ELLENTON DISCOUNT PHARMACY |
| Practice Address |
8324 Us Highway 301 N Parrish FL 34219-8653 |
| Practice Telephone | 9414442233 |
| Practice Fax Number | 9414177144 |
| Mailing Telephone | 9414442233 |
| Mailing Fax Number | 9414177144 |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | KUNJAL PATEL (PHARMACIST) |
| Authorized Official Telephone | 9414442233 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PH29831 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 017320800 | 05 | |
| PK | 2175537 | 01 |
| Other Name | Type Code |
|---|---|
| ELLENTON DISCOUNT PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407214885 | Ellenton Discount Pharmacy LLC | Pharmacy | 8324 Us Highway 301 N, Parrish, FL 34219-8653 | 2016-02-01 |
| Street Address |
8324 US HIGHWAY 301 N |
| City | PARRISH |
| State | FL |
| Zip Code | 34219-8653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760596738 | A and J Rx LLC | Pharmacy | 8324 Us Highway 301 N, Parrish, FL 34219-8653 | 2006-08-18 |
| 1407214885 | Ellenton Discount Pharmacy LLC | Pharmacy | 8324 Us Highway 301 N, Parrish, FL 34219-8653 | 2016-02-01 |
| 1619250446 | Sheldon Klein | Pharmacist | 8324 Us Highway 301 N, Parrish, FL 34219-8653 | 2011-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013254234 | Robert G Harb | Pharmacist | 8324 Us Hwy 301 North, Parrish, FL 34219 | 2013-01-08 |
| 1659640597 | Shannon L Paoli | Speech-Language Pathologist | 9707 50th Street Cir E, Parrish, FL 34219 | 2011-12-21 |
| 1366710691 | Manatee Diagnostic Center, Ltd | Radiology | 11255 Us Hwy 301 North, 105, Parrish, FL 34219 | 2011-12-01 |
| 1952699845 | Lucy T White | Massage Therapist | 5971 Jim Davis Road, Parrish, FL 34219 | 2011-07-13 |
| 1336374230 | Molly P Gilbert | Speech-Language Pathologist | 15416 27th Ct E, Parrish, FL 34219 | 2009-05-20 |
| 1184729923 | Holiday Cvs LLC | Pharmacy | 8700 Us Hwy 301 N, Parrish, FL 34219 | 2006-09-14 |
| 1932155405 | Lura A. Springfels | Nurse Practitioner | 11235 Us 301 N, #101, Parrish, FL 34219 | 2006-05-26 |
| 1467003913 | Suncoast Speech Therapy | Speech-Language Pathologist | 9707 50th Street Cir E, Parrish, FL 34219 | 2019-09-26 |
| 1205338266 | Brittany Faith Carlisi | Nurse Practitioner | 12271 Us Highway 301 N, Parrish, FL 34219 | 2018-03-06 |
| 1487184180 | Hannah Walsh | Pediatrics | 12271 Us Highway 301 N, Parrish, FL 34219 | 2017-06-14 |
| Find all providers in zip 34219 | ||||
| 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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| 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 |
| 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.