Organization Active NPI

Prescription Shoppes LLC

Doing business as The Medicine Shoppe

  • Pharmacist
  • Kissimmee, FL
National Provider Identifier
1124160569
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH19069 Issued in FL
Legal business name
PRESCRIPTION SHOPPES LLC
Doing business as
The Medicine Shoppe
Practice address
114 Broadway
Kissimmee, FL 34741-5714
Phone
(407) 847-2424
Fax
(407) 483-0265
NPI assigned
Feb 13, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Samir Amin, PHARMACIST
Title
Director
Phone
(407) 847-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X PH19069 FL Primary

Addresses

Primary practice location

114 Broadway
Kissimmee, FL 34741-5714

Mailing address

114 Broadway
Kissimmee, FL 34741-5714
Phone (407) 847-2424

Other names 1

  • The Medicine Shoppe Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Prescription Shoppes LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1124160569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 BROADWAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415714",
            "telephone_number": "407-847-2424",
            "fax_number": "407-483-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 BROADWAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415714",
            "telephone_number": "407-847-2424",
            "fax_number": "407-483-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIPTION SHOPPES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-847-2424",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PH19069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.