Organization Active NPI

Model Pharmacy LLC

  • Community/Retail Pharmacy
  • Kissimmee, FL
National Provider Identifier
1295162709
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MODEL PHARMACY LLC
Practice address
1714 N Main St
Kissimmee, FL 34744-3307
Phone
(407) 572-8779
Fax
(407) 572-8780
NPI assigned
Sep 28, 2013
Last updated
Jul 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Satvik Thakkar
Title
Owner
Phone
(407) 622-2510

Specialties & licenses 1

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

Addresses

Primary practice location

1714 N Main St
Kissimmee, FL 34744-3307

Mailing address

1714 N Main St
Kissimmee, FL 34744-3307
Phone (407) 572-8779

Other identifiers 1

IdentifierTypeStateIssuer
012220900MedicaidFL

Other names 1

  • MODEL PHARMACY LLC Other name

National Provider Directory

National Provider Directory

Locations

1714 N Main St
Kissimmee, FL 34744
Phone (407) 572-8779

NPI Registry JSON

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

{
    "created_epoch": "1380326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1295162709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 N MAIN ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443307",
            "telephone_number": "407-572-8779",
            "fax_number": "407-572-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 N MAIN ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443307",
            "telephone_number": "407-572-8779",
            "fax_number": "407-572-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODEL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-28",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "SATVIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-622-2510"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012220900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MODEL PHARMACY LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.