Organization Active NPI

Hygeia Holdings LLC

Doing business as The Medicine Shoppe 1850 LTC

  • Long Term Care Pharmacy
  • Largo, FL
National Provider Identifier
1285311290
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
HYGEIA HOLDINGS LLC
Doing business as
The Medicine Shoppe 1850 LTC
The Medicine Shoppe of Largo LTC 1850
Practice address
1555 E Bay Dr Ste L
Largo, FL 33771-1002
Phone
(727) 501-0188
Fax
(727) 501-0185
NPI assigned
Jun 30, 2023
Last updated
Jun 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Authorized official

Name
Minas George Liristis, PHARM.D.NPI 1245848266
Title
Pic/Owner
Phone
(727) 501-0188

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1555 E Bay Dr Ste L
Largo, FL 33771-1002

Mailing address

1555 E Bay Dr Ste L
Largo, FL 33771-1002
Phone (727) 501-0188

Other identifiers 1

IdentifierTypeStateIssuer
028418100MedicaidFL

Other names 2

  • THE MEDICINE SHOPPE 1850 LTC Doing business as
  • THE MEDICINE SHOPPE OF LARGO LTC 1850 Doing business as

National Provider Directory

National Provider Directory

Locations

1555 E Bay Dr
Ste L
Largo, FL 33771
Phone (727) 501-0188

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.

NPI Registry JSON

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1285311290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 E BAY DR STE L",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337711002",
            "telephone_number": "727-501-0188",
            "fax_number": "727-501-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 E BAY DR STE L",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337711002",
            "telephone_number": "727-501-0188",
            "fax_number": "727-501-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYGEIA HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "LIRISTIS",
        "authorized_official_first_name": "MINAS",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "727-501-0188",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028418100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE MEDICINE SHOPPE 1850 LTC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE MEDICINE SHOPPE OF LARGO LTC 1850",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.