Exp Pharmacy SVC of FL LLC

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

PH20840 Issued in FL

Legal business name

EXP PHARMACY SVC OF FL LLC

Practice address

8275 Bryan Dairy Rd
Largo, FL 33777-1324

Phone

(800) 589-7255

Fax

(727) 395-7892

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Samuel Medure, RPH

Title

GM

Phone

(800) 589-7255

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• PHARMACARE DIRECT Doing business as

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1316958952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8275 BRYAN DAIRY RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771324",
            "telephone_number": "800-589-7255",
            "fax_number": "727-395-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8275 BRYAN DAIRY RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771324",
            "telephone_number": "800-589-7255",
            "fax_number": "727-395-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXP PHARMACY SVC OF FL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "MEDURE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "GM",
        "authorized_official_telephone_number": "800-589-7255",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "FL",
            "license": "PH20840",
            "primary": true
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106251400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1075058",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMACARE DIRECT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evening Pediatrics, Inc
• Evergreen Life Services of Florida, Inc.
• Abigail Renee Everhart
• Everyday Champions, Inc.
• Exceptional Behavior Consulting, LLC
• Extended Hands Project Inc.
• Eye Doctors Optical Outlets PA
• Eye Institute Optical, L.L.C.
• Eyedentity Optical
• F. Allan Heilman, D.D.S., P.a.

• Mail Order Pharmacy in Largo, FL
• Providers in Largo, FL by specialty
• Mail Order Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.