Maa Ashapuri LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH28381 Issued in FL

Legal business name

MAA ASHAPURI LLC

Practice address

63 W Main St
Apopka, FL 32703-5155

Phone

(407) 814-4843

Fax

(407) 814-4845

NPI assigned

Jun 26, 2014

Organization subpart

No

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

Authorized official

Name

Alfred Awomewe

Title

Owner/Manager

Phone

(407) 814-4843

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• APOPKA CARE PHARMACY Doing business as

Networks

• Freedom Health HMO NetworkPlans: 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)…
• Optimum HealthCare HMO NetworkPlans: 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)

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1124433222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 W MAIN ST",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327035155",
            "telephone_number": "407-814-4843",
            "fax_number": "407-814-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 W MAIN ST",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327035155",
            "telephone_number": "407-814-4843",
            "fax_number": "407-814-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAA ASHAPURI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "AWOMEWE",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "407-814-4843"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH28381",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147289",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APOPKA CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deviano Lubis
• Christopher Michael Lucio
• Michelle Nicole Lukasik, PA
• Reinaldo Luna, APRN
• Lian Luo, PT, DPT
• Cristene Maas, DDS
• Rachel Macalua, PA-C
• David Aaron Macfadyen
• Anesha Dashelle Mack Coley
• Megha Madala, PA-C

• Community/Retail Pharmacy in Apopka, FL
• Providers in Apopka, 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 Aug 16, 2016; 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.