Organization Active NPI

Bueno Pharmacy LLC

  • Community/Retail Pharmacy
  • Sanford, FL
National Provider Identifier
1083474217
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BUENO PHARMACY LLC
Doing business as
Bueno Pharmacy
Bueno Pharmacy #2
Practice address
520 W Lake Mary Blvd Ste 214-216
Sanford, FL 32773-7424
Phone
(321) 233-2239
Fax
(321) 233-2239
NPI assigned
Mar 22, 2024
Organization subpart
Yes
Parent organization
BUENO PHARMACY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Anthony John Maldonado, PHARMDNPI 1295308021
Title
Pharmacist
Phone
(646) 202-3418

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

520 W Lake Mary Blvd Ste 214-216
Sanford, FL 32773-7424

Mailing address

2921 S Orlando Dr Ste 130
Sanford, FL 32773-4106
Phone (855) 283-6679

Other practice location 1

2921 S Orlando Dr Ste 130
Sanford, FL 32773-4106
Phone (855) 283-6679

Other names 2

  • Bueno Pharmacy Doing business as
  • Bueno Pharmacy #2 Doing business as

National Provider Directory

National Provider Directory
Part of
Bueno Pharmacy LLC

Locations

520 W Lake Mary Blvd
Ste 214216
Sanford, FL 32773
Phone (321) 233-2239

520 W Lake Mary Blvd
Ste 214
Sanford, FL 32773
Phone (407) 507-6058

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1083474217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 S ORLANDO DR STE 130",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327734106",
            "telephone_number": "855-283-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W LAKE MARY BLVD STE 214-216",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327737424",
            "telephone_number": "321-233-2239",
            "fax_number": "321-233-2239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2921 S Orlando Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "FL",
            "postal_code": "327734106",
            "country_code": "US",
            "telephone_number": "855-283-6679",
            "fax_number": "407-878-3106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BUENO PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BUENO  PHARMACY LLC",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "646-202-3418",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bueno Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bueno Pharmacy #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.