Active NPI
Model Pharmacy LLC
- Community/Retail Pharmacy
- Kissimmee, FL
National Provider Identifier
1295162709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2025
- 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
- Satvik Thakkar
- Title
- Owner
- Phone
- (407) 622-2510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012220900 | Medicaid | FL |
Other names 1
- MODEL PHARMACY LLC
National Provider Directory
National Provider DirectoryLocations
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.