Benzer FL 3 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH29220 Issued in FL

Legal business name

BENZER FL 3 LLC

Doing business as

Elite Pharmacy

Practice address

901 W Indiatown Road
Bay 23
Jupiter, FL 33458

Phone

(561) 529-2851

Fax

(561) 529-2874

NPI assigned

Jul 9, 2015

Last updated

Mar 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Tejas Patel

Title

Ceo

Phone

(561) 529-2851

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Elite Pharmacy Doing business as

Locations

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 Máximo (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)…
• HealthSun Health Plans Network
• 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)

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexander Vincent Ciccone

  • Community Health Worker
  • Brandon, FL
  • NPI 1477033504
  NPD (past)
• Cierra Jessica Harden, PHARMD

  • Pharmacist
  • Brandon, FL
  • NPI 1194266262
  NPD (past)
• Musharaf Khan

  • Pharmacist
  • Jupiter, FL
  • NPI 1003080391
  NPD (past)
• Justice Marie-Monae Walker, RTC

  • Community Health Worker
  • Brandon, FL
  • NPI 1366922494
  NPD (past)

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1164805016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W INDIATOWN ROAD",
            "address_2": "BAY 23",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "telephone_number": "561-529-2851",
            "fax_number": "561-529-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W INDIATOWN ROAD",
            "address_2": "BAY 23",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "telephone_number": "561-529-2851",
            "fax_number": "561-529-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENZER FL 3 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TEJAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-529-2851",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH29220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102220000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152983",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015846400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christian Daniel Benitez, D.M.D.
• Mayra Benitez
• Holly H Bennett, L.C.S.W.
• Sandra Mahusay Bensan, RPT
• Donna Kay Benya, PA-C
• Alexandra Berger, M.D.
• Linda M Berko, L.C.S.W.
• Liana Berkowitz, PA-C, ATC, CSCS
• Berliant Enterprises LLC
• Brent Berman, LCSW

• Community/Retail Pharmacy in Jupiter, FL
• Providers in Jupiter, 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 Mar 2, 2020; 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.