Medoz Pharmacy of Osceola Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

24831 Issued in FL

Legal business name

MEDOZ PHARMACY OF OSCEOLA INC

Doing business as

Medoz Pharmacy of Osceola Inc

Practice address

720 W Oak St
Ste 114
Kissimmee, FL 34741-4989

Phone

(407) 374-2550

Fax

(407) 347-4097

NPI assigned

Sep 1, 2010

Organization subpart

No

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

Authorized official

Name

Udaykumar Desai

Title

Ceo

Phone

(407) 374-2550

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• MEDOZ PHARMACY OF OSCEOLA INC Doing business as

Practitioners 1

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

• Viral Desai, O.D.

  • Optometrist
  • Richmond, TX
  • NPI 1396850319
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1083921860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W OAK ST",
            "address_2": "STE 114",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414989",
            "telephone_number": "407-374-2550",
            "fax_number": "407-347-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W OAK ST",
            "address_2": "STE 114",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414989",
            "telephone_number": "407-374-2550",
            "fax_number": "407-347-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDOZ PHARMACY OF OSCEOLA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "UDAYKUMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-374-2550"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "24831",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106499034",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5701556",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDOZ PHARMACY OF OSCEOLA INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Betzaida Medina
• Dryssi Nicolle Medina, F02241104
• Santa Medina
• Tony Alejandro Medina Sr.
• Medisound Inc
• Medteam Group, LLC (Physical Therapy Now Kissimmee)
• Medvital Physician Care Group
• Medvital Walk in Lab and Clinic, LLC
• Sanjay Mehra, M.D.
• Varun Mehta

• Community/Retail Pharmacy in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.