Active NPI
My Concierge Pharmacy PLLC
- Community/Retail Pharmacy
- Palm Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MY CONCIERGE PHARMACY PLLC
- Practice address
- 2112 S Congress Ave Ste 207
Palm Springs, FL 33406-7670 - Phone
- (561) 284-6165
- NPI assigned
- Sep 20, 2023
- 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
- Dr. Stevi Jenkins-Kelly, PHARMD.
- Title
- Owner/Pharmacist
- Phone
- (561) 284-6165
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
2112 S Congress Ave Ste 207
Palm Springs, FL 33406-7670
Mailing address
2112 S Congress Ave Ste 207
Palm Springs, FL 33406-7670
Phone (561) 284-6165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240923002546 | FL | Part B Supplier - Pharmacy | 3577004142 | Practice locations: Palm Springs, 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 |
|---|---|---|---|
| 10D2307734 | My Concierge Pharmacy, PLLC | Certificate of waiver | Jul 14, 2028 |
National Provider Directory
National Provider DirectoryLocations
2112 S Congress Ave
Ste 207
Palm Springs, FL 33406
Phone (561) 284-6165
Networks
- HealthSun Health Plans Network
- Optimum HealthCare HMO Network
- Freedom Health 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.
-
- Pharmacist
- Palm Springs, FL
- NPI 1750833810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724284800000",
"number": "1265210215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2112 S CONGRESS AVE STE 207",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334067670",
"telephone_number": "561-284-6165",
"fax_number": "561-284-6195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2112 S CONGRESS AVE STE 207",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334067670",
"telephone_number": "561-284-6165"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY CONCIERGE PHARMACY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-20",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A",
"authorized_official_last_name": "JENKINS-KELLY",
"authorized_official_first_name": "STEVI",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "561-284-6165",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.