Organization Active NPI

Millennium Specialty Pharmacy LLC

  • Pharmacy
  • Winter Park, FL
National Provider Identifier
1225575020
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH30593 Issued in FL
Legal business name
MILLENNIUM SPECIALTY PHARMACY LLC
Practice address
110 S Orlando Ave Ste 5
Winter Park, FL 32789-3656
Phone
(407) 616-1327
NPI assigned
Jan 31, 2017
Last updated
Feb 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Tam Tu
Title
Pharmacist/Owner
Phone
(407) 616-1327

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH30593 FL Primary
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

110 S Orlando Ave Ste 5
Winter Park, FL 32789-3656

Mailing address

110 S Orlando Ave Ste 5
Winter Park, FL 32789-3656
Phone (407) 616-1327

Other identifiers 1

IdentifierTypeStateIssuer
2167636OtherPK

National Provider Directory

National Provider Directory

Locations

110 S Orlando Ave
Ste 5
Winter Park, FL 32789
Phone (407) 616-1327

NPI Registry JSON

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1225575020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S ORLANDO AVE STE 5",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893656",
            "telephone_number": "407-616-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S ORLANDO AVE STE 5",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893656",
            "telephone_number": "407-616-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM SPECIALTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "TU",
        "authorized_official_first_name": "TAM",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "407-616-1327"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH30593",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2167636",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.