Organization Active NPI

Shamrock Drugs, LLC

  • Community/Retail Pharmacy
  • Lake Placid, FL
National Provider Identifier
1083004378
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH28833 Issued in FL
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

Updated by the provider on Feb 20, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2286966Shamrock Drugs LLC6 N Main Ave, Lake Placid, FL 33852Certificate of waiverAug 6, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.