Express Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH27330 Issued in FL

Legal business name

EXPRESS PHARMACY

Practice address

1218 Winter Garden Vineland Rd
Unit 112
Winter Garden, FL 34787-6370

Phone

(407) 902-5719

NPI assigned

May 6, 2014

Last updated

May 6, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Pham

Title

Pharmacy Manager and Owner

Phone

(407) 902-5719

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1275943771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 SAGECREST DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614633",
            "telephone_number": "407-902-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 WINTER GARDEN VINELAND RD",
            "address_2": "UNIT 112",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347876370",
            "telephone_number": "407-902-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PHARMACY MANAGER AND OWNER",
        "authorized_official_telephone_number": "407-902-5719"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH27330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.