Active NPI
BNR Pharmacy
- Community/Retail Pharmacy
- Ocoee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- BNR PHARMACY
- Practice address
- 1063 S Clarke Rd
Ocoee, FL 34761-6995 - Phone
- (407) 601-1998
- Fax
- (407) 601-1979
- NPI assigned
- Jul 13, 2020
- Last updated
- Feb 18, 2026
- 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
- Dharmik Raval
- Title
- President/Owner
- Phone
- (407) 601-1998
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
1063 S Clarke Rd
Ocoee, FL 34761-6995
Mailing address
1063 S Clarke Rd
Ocoee, FL 34761-6995
Phone (407) 601-1998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063 | Other | LOCAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201207000878 | FL | Part B Supplier - Pharmacy | 9739591223 | Practice locations: Ocoee, FL |
| O20210128002823 | FL | Part B Supplier - Independent Clinical Laboratory | 9739591223 | Practice locations: Ocoee, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2199157 | BNR Pharmacy Inc | Certificate of waiver | Nov 4, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Bair Bones Osteopathic Family Medicine
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Portland, OR
- NPI 1285229765
-
- Family Medicine Physician
- Portland, OR
- NPI 1417540345
Locations
1063 S Clarke Rd
Ocoee, FL 34761
Phone (407) 601-1998
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist
- Ocoee, FL
- NPI 1861450132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771372800000",
"number": "1235757576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1063 S CLARKE RD",
"city": "OCOEE",
"state": "FL",
"postal_code": "347616995",
"telephone_number": "407-601-1998",
"fax_number": "407-601-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1063 S CLARKE RD",
"city": "OCOEE",
"state": "FL",
"postal_code": "347616995",
"telephone_number": "407-601-1998",
"fax_number": "407-601-1979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BNR PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-13",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A",
"authorized_official_last_name": "RAVAL",
"authorized_official_first_name": "DHARMIK",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "407-601-1998"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOCAL",
"identifier": "1063",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.