Direct Care Pharmacy, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

DIRECT CARE PHARMACY, LLC

Practice address

3117 Innovation Dr
Saint Cloud, FL 34769-6501

Phone

(407) 477-2345

Fax

(352) 399-6936

NPI assigned

Jul 8, 2021

Last updated

Dec 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jiby Joseph

Title

Pharmacist

Phone

(352) 409-8943

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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.

• Siby Thomas Puthenpurayil, RPH

  • Pharmacist
  • Saint Cloud, FL
  • NPI 1003181033
  NPD

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1326619529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W NORTH BLVD STE B",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485050",
            "telephone_number": "352-409-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 INNOVATION DR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696501",
            "telephone_number": "407-477-2345",
            "fax_number": "352-399-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT CARE PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "JIBY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "352-409-8943"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Kinnser",
            "affiliation": "N",
            "endpointDescription": "software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "709 W North Blvd Ste B",
            "city": "Leesburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347485050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Crystal Alicia Diaz
• Karla Michelle Diaz, LPN, MSCP
• Maritza Diaz
• Marlissa Diaz
• Michael J Diaz, APRN
• Mauro Antonio Dispagna, MD
• Divine Transportation Services LLC
• Brenna Elise Doherty
• Avi Elizabeth Domnitz-Gebet, DO
• Cindy L Donawa

• Long Term Care Pharmacy in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Long Term Care Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.