NPIMap

Organization Active NPI

WSRX Healthcare LLC

Doing business as Winter Springs Specialty Pharmacy

  • Community/Retail Pharmacy
  • Winter Springs, FL
National Provider Identifier
1235556879
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH27663 Issued in FL
Legal business name
WSRX HEALTHCARE LLC
Doing business as
Winter Springs Specialty Pharmacy
Practice address
5942 Red Bug Lake Rd
Winter Springs, FL 32708-5035
Phone
(321) 316-4615
Fax
(321) 316-4619
NPI assigned
Mar 20, 2014
Last updated
May 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Authorized official

Name
Tam Tu
Title
Owner/Pharmacist
Phone
(321) 316-4615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH27663 FL Primary

Addresses

Primary practice location

5942 Red Bug Lake Rd
Winter Springs, FL 32708-5035

Mailing address

5942 Red Bug Lake Rd
Winter Springs, FL 32708-5035
Phone (321) 316-4615

Other identifiers 1

IdentifierTypeStateIssuer
2145269OtherPK

Other names 1

  • Winter Springs Specialty Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Winter Springs Specialty 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.

NPI Registry JSON

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1235556879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5942 RED BUG LAKE RD",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085035",
            "telephone_number": "321-316-4615",
            "fax_number": "321-316-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5942 RED BUG LAKE RD",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085035",
            "telephone_number": "321-316-4615",
            "fax_number": "321-316-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WSRX HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "TU",
        "authorized_official_first_name": "TAM",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "321-316-4615"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH27663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145269",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winter Springs Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.