PRIME THERAPEUTICS SPECIALTY PRIME LLC (NPI# 1922579416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922579416 |
| Entity Type | Organization |
| Organization Name | PRIME THERAPEUTICS SPECIALTY PRIME LLC |
| Practice Address |
2354 Commerce Park Dr Ste 100 Orlando FL 32819-8601 |
| Practice Telephone | 4075914020 |
| Mailing Telephone | 4075914020 |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2018-12-10 |
| Authorized Official Name | ALYSSA SWEETEN (MANAGER) |
| Authorized Official Telephone | 2177092386 |
| Is Organization Subpart | Y |
| Parent Organization Name | WALGREENS BOOTS ALLIANCE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251F00000X | Home Infusion | Agencies |
| Other Name | Type Code |
|---|---|
| AllianceRx Walgreens Prime Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912227703 | Prime Therapeutics Specialty Prime LLC | Pharmacy | 8600 Harry Hines Blvd Ste 100, Dallas, TX 75235-3005 | 2010-06-03 |
| Street Address |
2354 COMMERCE PARK DR STE 100 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32819-8601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619247442 | Phuong Dieu Pham | Pharmacist | 2354 Commerce Park Dr Ste 100, Orlando, FL 32819-8601 | 2012-01-10 |
| 1063925485 | Jeffrey Davis | Pharmacist | 2354 Commerce Park Dr Ste 100, Orlando, FL 32819-8601 | 2017-11-07 |
| 1043739808 | Matthew Cibulas | Pharmacist | 2354 Commerce Park Dr Ste 100, Orlando, FL 32819-8601 | 2017-09-13 |
| 1346767456 | Nadine Nashed | Pharmacist | 2354 Commerce Park Dr Ste 100, Orlando, FL 32819-8601 | 2017-08-29 |
| 1700303864 | Michelle Smith | Pharmacist | 2354 Commerce Park Dr Ste 100, Orlando, FL 32819-8601 | 2017-08-29 |
| 1639696974 | Troy Lizyness | Pharmacist | 2354 Commerce Park Dr Ste 100, Orlando, FL 32819-8601 | 2017-08-28 |
| 1609393016 | Adam Thalla | Pharmacist | 2354 Commerce Park Dr Ste 100, Orlando, FL 32819-8601 | 2017-08-25 |
| 1033636592 | Nicole Stinner | Pharmacist | 2354 Commerce Park Dr Ste 100, Orlando, FL 32819-8601 | 2017-08-25 |
| 1942727326 | Ojas Sampat | Pharmacist | 2354 Commerce Park Dr Ste 100, Orlando, FL 32819-8601 | 2017-08-25 |
| 1598282055 | Ashley Addie | Pharmacist | 2354 Commerce Park Dr Ste 100, Orlando, FL 32819-8601 | 2017-08-25 |
| Find all providers in the same location | ||||
| 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 | 251F00000X |
| Grouping | Agencies |
| Classification | Home Infusion |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499076 | Capstone Health | Home Infusion | 10501 S Orange Ave Ste 123, Orlando, FL 32824-7749 | 2020-08-26 |
| 1306085964 | Coram Alternate Site Services, Inc. | Home Infusion | 9310 Southpark Center Loop, Suite 101, Orlando, FL 32819-8634 | 2009-02-05 |
| 1649215468 | U.S.i.v. Inc. | Home Infusion | 2909 N Orange Ave, Suite 106b, Orlando, FL 32804-4639 | 2006-06-17 |
| 1508465865 | Optimed Health Partners Inc | Home Infusion | 1111 Lucerne Ter, Orlando, FL 32806-1016 | 2020-10-19 |
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|---|---|---|---|---|
| 1801494992 | Option Care Enterprises, Inc. | Home Infusion | 14580 Global Pkwy Ste 108, Fort Myers, FL 33913-8887 | 2020-10-12 |
| 1912504747 | Option Care Enterprises, Inc. | Home Infusion | 2880 Scherer Dr N Ste 850, St Petersburg, FL 33716-1025 | 2020-10-05 |
| 1548877954 | Infusion Partners of Melbourne LLC | Home Infusion | 3040 Venture Ln Ste 103, Melbourne, FL 32934-8173 | 2020-09-29 |
| 1154932085 | Daily Nurse LLC | Home Infusion | 1651 Normandy Heights Blvd, Winter Haven, FL 33880-5341 | 2020-08-13 |
| 1003434770 | Whole Care Solutions LLC | Home Infusion | 7951 Riviera Blvd Ste 303, Miramar, FL 33023-6437 | 2020-07-09 |
| 1184257982 | Rn Enterprises Infusion Services Inc | Home Infusion | 3697 Crown Point Ct, Jacksonville, FL 32257-5967 | 2020-02-20 |
| 1528606977 | On Point Home Health | Home Infusion | 123 Ne Bradley Ter, Lake City, FL 32055-4127 | 2019-12-17 |
| 1285283812 | Guiding Star Home Health LLC | Home Infusion | 11077 Biscayne Blvd Ste 304, North Miami, FL 33161-7498 | 2019-09-06 |
| 1558924894 | Medizen Healthcare | Home Infusion | 2611 Bayshore Blvd Apt 802, Tampa, FL 33629-7362 | 2019-04-22 |
| 1962919522 | Ruth Catherine Pittari | Home Infusion | 420 Frances Ter, Daytona Beach, FL 32118-4711 | 2018-01-04 |
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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.