Adya LLC – Community/Retail Pharmacy in Ocoee, FL

Key facts

NPI: 1003415019
Entity type: Organization (NPI type 2)
Primary specialty: Community/Retail Pharmacy 3336C0003X
Legal business name: ADYA LLC
Practice address: 1572 Citrus Medical CT
Ocoee, FL 34761-4547
Phone: (407) 337-5250
Fax: (407) 337-5251
NPI assigned: Oct 21, 2020
Organization subpart: No

Authorized official

Name: Shasanka Reddy Thumu
Title: Managing Member
Phone: (407) 337-5250

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Adya LLC Long Term Care Pharmacy · Ocoee, FL · NPI 1891567426

NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Shasanka Thumu, PHARMD Pharmacist · Haines City, FL · NPI 1174892475

NPD

Medicare participation

Medicare fee-for-service enrollment: Enrolled in FL

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20210323001286	FL	Part B Supplier - Pharmacy	0244647048	Practice locations: Ocoee, FL

National Provider Directory

Tax ID family: Adya LLC (2 organizations share this tax ID)

Locations

1540 Citrus Medical Ct
Ocoee, FL 34761
Phone (407) 245-8501

Networks

Freedom Health HMO Network
Plans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
Optimum HealthCare HMO Network
Plans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Community/Retail Pharmacy	3336C0003X			Yes

Addresses

Primary practice location

1572 Citrus Medical CT
Ocoee, FL 34761-4547

Mailing address

1572 Citrus Medical CT
Ocoee, FL 34761-4547
Phone (407) 337-5250

Other identifiers

Identifier	Type	State	Issuer
PH32968	Other	FL	COMMUNITY RETAIL

Other names

SmartCare RX Doing business as

Other providers in Ocoee, FL

All providers in Ocoee, FL · Community/Retail Pharmacy in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.