Organization Active NPI

Reliant Pharmacy LLC

  • Community/Retail Pharmacy
  • Spring Hill, FL
National Provider Identifier
1134428824
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH25342 Issued in FL
Legal business name
RELIANT PHARMACY LLC
Practice address
10507 Spring Hill Dr
Spring Hill, FL 34608-5047
Phone
(352) 596-1044
Fax
(352) 596-1043
NPI assigned
Mar 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Authorized official

Name
Heena Thakkar
Title
Owner
Phone
(813) 454-3426

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH25342 FL Primary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

10507 Spring Hill Dr
Spring Hill, FL 34608-5047

Mailing address

10507 Spring Hill Dr
Spring Hill, FL 34608-5047
Phone (352) 596-1044

Other identifiers 2

IdentifierTypeStateIssuer
013442900MedicaidFL
2129731OtherPK

Other names 1

  • PINE BROOK PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210125002811 FL Part B Supplier - Pharmacy 8426462961 Practice locations: Spring Hill, FL

National Provider Directory

National Provider Directory
Tax ID family
Pine Brook 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.

Locations

10507 Spring Hill Dr
Spring Hill, FL 34608
Phone (352) 596-1044

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1134428824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10507 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346085047",
            "telephone_number": "352-596-1044",
            "fax_number": "352-596-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10507 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346085047",
            "telephone_number": "352-596-1044",
            "fax_number": "352-596-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "HEENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-454-3426"
    },
    "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": "PH25342",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013442900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129731",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PINE BROOK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PINE BROOK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare 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.