Active NPI
Premium RX Pharmacy
Doing business as Pharmetrics Specialty Rx of Sarasota
- Pharmacy
- Sarasota, FL
National Provider Identifier
1083055891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PH 26669
- Legal business name
- PREMIUM RX PHARMACY
- Doing business as
- Pharmetrics Specialty Rx of Sarasota
- Practice address
- 2750 Bahia Vista St
Suite 235
Sarasota, FL 34239-2600 - Phone
- (727) 460-1855
- NPI assigned
- Jul 9, 2013
- Last updated
- Dec 19, 2019
- 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
- Dean A Pedalino, PHARMACIST
- Title
- Partner
- Phone
- (727) 460-1855
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PH 26669 | FL | Primary |
Addresses
Primary practice location
2750 Bahia Vista St
Suite 235
Sarasota, FL 34239-2600
Mailing address
2750 Bahia Vista St.
Suite 235
Sarasota, FL 34239
Phone (727) 460-1855
Other names 1
- Pharmetrics Specialty Rx of Sarasota
National Provider Directory
National Provider Directory- Tax ID family
- Premium RX Pharmacy
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Infusion Therapy Pharmacy
- Raleigh, NC
- NPI 1679250443
-
- Specialty Pharmacy
- Houston, TX
- NPI 1740106194
Locations
2750 Bahia Vista St
Ste 235
Sarasota, FL 34239
Phone (727) 460-1855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576713600000",
"number": "1083055891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 BAHIA VISTA ST.",
"address_2": "SUITE 235",
"city": "SARASOTA",
"state": "FL",
"postal_code": "34239",
"telephone_number": "727-460-1855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 BAHIA VISTA ST",
"address_2": "SUITE 235",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342392600",
"telephone_number": "727-460-1855"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIUM RX PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-09",
"last_updated": "2019-12-19",
"certification_date": "2019-12-19",
"status": "A",
"authorized_official_last_name": "PEDALINO",
"authorized_official_first_name": "DEAN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "727-460-1855",
"authorized_official_credential": "PHARMACIST"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "FL",
"license": "PH 26669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pharmetrics Specialty Rx of Sarasota",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.