Prosper Infusion, Inc. – Community/Retail Pharmacy

Key facts

NPI: 1093471401
Entity type: Organization (NPI type 2)
Primary specialty: Community/Retail Pharmacy 3336C0003X
Legal business name: PROSPER INFUSION, INC.
Practice address: 12637 Race Track Rd
Westchase, FL 33626-1331
Phone: (813) 749-0786
Fax: (813) 922-2457
NPI assigned: Nov 10, 2021
Organization subpart: No

Authorized official

Name: Richard Lee Duong
Title: President
Phone: (813) 749-0786

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Prosper Infusion, Inc. Home Infusion Therapy Pharmacy · Westchase, FL · NPI 1528654506

Same enrollment O20220608003319

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Prosper Infusion, Inc. Home Infusion Therapy Pharmacy · Westchase, FL · NPI 1528654506

NPD tax ID

Practitioners 1

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

Richard Lee Duong, PHARMD Pharmacist · Tampa, FL · NPI 1457947426

NPD

Medicare participation

Medicare fee-for-service enrollment: Enrolled in FL

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20220608003319	FL	Part B Supplier - Home Infusion Therapy Supplier	3678988961	1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Westchase, FL

National Provider Directory

Tax ID family: Prosper Infusion (2 organizations share this tax ID)

Locations

12637 Race Track Rd
Westchase, FL 33626
Phone (813) 749-0786

Networks

Optimum HealthCare HMO Network
Plans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
Freedom Health HMO Network
Plans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Specialties & licenses

Specialty (taxonomy)	Code	Primary
Pharmacy	333600000X
Community/Retail Pharmacy	3336C0003X	Yes
Home Infusion Therapy Pharmacy	3336H0001X

Addresses

Primary practice location

12637 Race Track Rd
Westchase, FL 33626-1331

Mailing address

12637 Race Track Rd
Westchase, FL 33626-1331
Phone (813) 749-0786

Other names

Prosper Infusion Doing business as

Other providers in Westchase, FL

All providers in Westchase, FL · Community/Retail Pharmacy in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.