Shrey Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH25021 Issued in FL

Legal business name

SHREY PHARMACY LLC

Practice address

5340 Spring Hill Dr
Spring Hill, FL 34606-4562

Phone

(352) 610-4437

Fax

(352) 610-4427

NPI assigned

Nov 7, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Gautam Thakkar, RPH

Title

Pharmacy Manager

Phone

(813) 454-3500

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PINE BROOK PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theresa Springer, RPH

  • Pharmacist
  • Spring Hill, FL
  • NPI 1891494696
  NPD
• William E Freeman, BS PHARMACY

  • Pharmacist
  • Spring Hill, FL
  • NPI 1265991475
  NPD (past)

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

{
    "created_epoch": "1289088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1306147319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19107 HARBOR COVE CT",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335589702",
            "telephone_number": "813-454-3500",
            "fax_number": "352-610-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346064562",
            "telephone_number": "352-610-4437",
            "fax_number": "352-610-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-07",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "GAUTAM",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "813-454-3500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25021",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003329000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PINE BROOK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PINE BROOK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sarah Shuayb, D.M.D
• Erin Kathleen Shutt

• Community/Retail Pharmacy in Spring Hill, FL
• Providers in Spring Hill, 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 Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.