Organization Active NPI

Medica Pharmacy

  • Community/Retail Pharmacy
  • Lake Mary, FL
National Provider Identifier
1114661741
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MEDICA PHARMACY
Practice address
105 Commerce St Ste 109
Lake Mary, FL 32746-6228
Phone
(407) 554-5010
Fax
(407) 554-5027
NPI assigned
Apr 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Ms. Helena Bukritsky, PHARMD
Title
Manager
Phone
(407) 554-5010

Specialties & licenses 1

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

Addresses

Primary practice location

105 Commerce St Ste 109
Lake Mary, FL 32746-6228

Mailing address

105 Commerce St Ste 109
Lake Mary, FL 32746-6228
Phone (407) 554-5010

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1114661741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 COMMERCE ST STE 109",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466228",
            "telephone_number": "407-554-5010",
            "fax_number": "407-554-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 COMMERCE ST STE 109",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466228",
            "telephone_number": "407-554-5010",
            "fax_number": "407-554-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "BUKRITSKY",
        "authorized_official_first_name": "HELENA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-554-5010",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.