Mount Dora RX Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

MOUNT DORA RX PHARMACY LLC

Doing business as

Mid Florida Pharmacy

Practice address

461 Plaza Dr
Eustis, FL 32726-6523

Phone

(352) 729-6557

NPI assigned

Feb 16, 2023

Organization subpart

No

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

Authorized official

Name

Harddikumar Patel

Title

Owner

Phone

(813) 328-3970

Specialties & licenses 1

Addresses

Other names 1

• Mid Florida Pharmacy Doing business as

Tax ID family

Mid Florida Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mount Dora RX Pharmacy LLC

  • Community/Retail Pharmacy
  • Eustis, FL
  • NPI 1346987633
  NPD tax ID

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1114625514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 W MLK BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076306",
            "telephone_number": "813-328-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 PLAZA DR",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266523",
            "telephone_number": "352-729-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT DORA RX PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HARDDIKUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-328-3970"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid Florida Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mobile Practitioner LLC
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• Brittany Ann Morgan
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• Mount Dora RX Pharmacy LLC
• Alexandra Moysey
• Mt. Dora Pharmacy LLC
• Mt. Dora Pharmacy LLC
• Jordyn Mueller, LMHC

• Long Term Care Pharmacy in Eustis, FL
• Providers in Eustis, FL by specialty
• Long Term Care Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.