Active NPI
Millennium Specialty Pharmacy LLC
- Pharmacy
- Winter Park, FL
National Provider Identifier
1225575020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PH30593
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2167636 | Other | PK |
National Provider Directory
National Provider DirectoryLocations
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.