EAGLE PHARMACY LLC (NPI# 1891321089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891321089 |
Entity Type | Organization |
Organization Name | EAGLE PHARMACY LLC |
Practice Address |
330 Eagles Landing Dr Ste 172 Lakeland FL 33810-3041 |
Practice Telephone | 8889200527 |
Practice Fax Number | 8778165523 |
Mailing Telephone | 8889200527 |
Mailing Fax Number | 8778165523 |
Enumeration Date | 2020-03-19 |
Last Update Date | 2020-03-19 |
Authorized Official Name | MIMI DAVIS (CHIEF OPERATING OFFICER) |
Authorized Official Telephone | 8638254102 |
Authorized Official Credential | RPH |
Is Organization Subpart | Y |
Parent Organization Name | EAGLE PHARMACY LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 333600000X | Pharmacy | Suppliers |
Other Name | Type Code |
---|---|
Synthroid Delivers Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134788649 | Eagle Pharmacy LLC | Pharmacy | 4216 Maccorkle Ave Se Ste 5, Charleston, WV 25304-2539 | 2019-06-08 |
1487905840 | Eagle Pharmacy LLC | Pharmacy | 350 Eagles Landing Dr., Lakeland, FL 33810-2899 | 2012-09-26 |
1609272707 | Eagle Pharmacy LLC | Pharmacy | 3741 Legacy, Weatherford, OK 73096-9746 | 2014-11-17 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | EAGLE PHARMACY LLC | 350 Eagles Landing Dr, Lakeland, FL 33810 |
Street Address |
330 EAGLES LANDING DR STE 172 |
City | LAKELAND |
State | FL |
Zip Code | 33810-3041 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811495096 | Suzanne Brabant | Social Worker | 8179 Westmont Terrace Drive, Lakeland, FL 33810 | 2018-01-23 |
1396102554 | Faison Health Care Solution | Custodial Care Facility | 2064 View Point Landings Rd, Lakeland, FL 33810 | 2016-01-19 |
1306212808 | Drew Brownlow | Physical Therapy Assistant | 6303 Brahman Drive, Lakeland, FL 33810 | 2015-08-19 |
1043699051 | Ilene Shumaker Griffin | Home Health Aide | 2930 Oak Tree Ln, Lakeland, FL 33810 | 2015-05-22 |
1962881276 | Richardson Anointing Hands | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 708east Ponderosa Dr, Lakeland, FL 33810 | 2015-05-20 |
1336352756 | Avito Veloso Vano | Physical Therapist | 9460 Redhawk Bend Lane, Lakeland, FL 33810 | 2007-05-08 |
1104978444 | Jean Bednarski Waters | Registered Nurse | 8516 N Campbell Rd, Lakeland, FL 33810 | 2007-01-17 |
1407892656 | David Willis Kent | Counselor | 930 Alicea Rd, Lakeland, FL 33810 | 2006-06-22 |
1972818359 | Suzanne B Stewart | Pharmacist | 3120 Kathleen Rd, Lakeland, FL 33810 | 2010-08-10 |
1689117228 | Kyosha Howard | Occupational Therapist | 3624 Country Ln, Lakeland, FL 33810-0238 | 2016-11-30 |
Find all providers in zip 33810 |
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 |
---|---|---|---|---|
1518577576 | Publix Super Markets, Inc | Pharmacy | 7340 Kathleen Rd, Lakeland, FL 33810-4495 | 2020-08-05 |
1659821437 | Arriva Medical, LLC | Pharmacy | 310 Eagles Landing Dr, Lakeland, FL 33810-2999 | 2016-10-05 |
1598214702 | Potter's Hand LLC | Pharmacy | 2180 E County Road 540a, Lakeland, FL 33813-3740 | 2016-09-28 |
1568891125 | Providence Pharmacy LLC | Pharmacy | 5515 Us Highway 98 N Ste 1, Lakeland, FL 33809-3133 | 2013-11-04 |
1487905840 | Eagle Pharmacy LLC | Pharmacy | 350 Eagles Landing Dr., Lakeland, FL 33810-2899 | 2012-09-26 |
1023374063 | Eagle Lake Pharmacy Inc | Pharmacy | 5245 A U S Hwy 98 N, Suite A, Lakeland, FL 33809 | 2012-04-04 |
1093974982 | Welldynerx LLC | Pharmacy | 500 Eagles Landing Dr, Lakeland, FL 33810-2899 | 2008-06-05 |
1306982913 | Sun and Lake Pharmacy Services, Inc | Pharmacy | 1231 Lakeland Hills Blvd, Lakeland, FL 33805-4673 | 2007-01-30 |
1679623987 | Careplus Pharmacy Corp | Pharmacy | 3020 S Combee Rd, Lakeland, FL 33803-7306 | 2007-01-11 |
1881794964 | Medcenter Inc | Pharmacy | 6935 S Carter Rd, Lakeland, FL 33813-3781 | 2006-09-25 |
Find all providers in LAKELAND |
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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.