Active NPI
Shamrock Drugs, LLC
- Community/Retail Pharmacy
- Lake Placid, FL
National Provider Identifier
1083004378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH28833
- Legal business name
- SHAMROCK DRUGS, LLC
- Practice address
- 6 N Main Ave
Lake Placid, FL 33852-9622 - Phone
- (863) 659-4744
- Fax
- (888) 741-7969
- NPI assigned
- Jan 26, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Kay Sims-Munson
- Title
- Proprietor
- Phone
- (863) 659-4744
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PH28833 | FL | Primary |
Addresses
Primary practice location
6 N Main Ave
Lake Placid, FL 33852-9622
Mailing address
6 N Main Ave
Lake Placid, FL 33852-9622
Phone (863) 659-4744
Other names 1
- Shamrock Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210210002723 | FL | Part B Supplier - Pharmacy | 0547553117 | Practice locations: Lake Placid, FL |
| O20250626001770 | FL | Part B Supplier - Mass Immunization (Roster Biller Only) | 0547553117 | Practice locations: Lake Placid, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2286966 | Shamrock Drugs LLC | Certificate of waiver | Aug 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
5 N Main Ave
Lake Placid, FL 33852
6 N Main Ave
Lake Placid, FL 33852
Phone (863) 659-4744
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Lake Placid, FL
- NPI 1649043647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708387200000",
"number": "1083004378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 N MAIN AVE",
"city": "LAKE PLACID",
"state": "FL",
"postal_code": "338529622",
"telephone_number": "863-659-4744",
"fax_number": "888-741-7969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 N MAIN AVE",
"city": "LAKE PLACID",
"state": "FL",
"postal_code": "338529622",
"telephone_number": "863-659-4744",
"fax_number": "888-741-7969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAMROCK DRUGS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-26",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A",
"authorized_official_last_name": "SIMS-MUNSON",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "PROPRIETOR",
"authorized_official_telephone_number": "863-659-4744"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH28833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shamrock Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Shamrock Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Placid, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.