Prescription Shoppes LLC

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH19331 Issued in FL

Legal business name

PRESCRIPTION SHOPPES LLC

Doing business as

The Medicine Shoppe

Practice address

864 Orange Ave
Daytona Beach, FL 32114-4770

Phone

(407) 923-2223

Fax

(407) 483-1487

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Samir Amin, PHARMACIST

Title

Director

Phone

(407) 923-2223

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• The Medicine Shoppe Doing business as

Tax ID family

Prescription Shoppes LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Prescription Shoppes LLC

  dba The Medicine Shoppe

  • Pharmacist
  • Kissimmee, FL
  • NPI 1124160569
  NPD tax ID

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1336281716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 ORANGE AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144770",
            "telephone_number": "407-923-2223",
            "fax_number": "407-483-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 ORANGE AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144770",
            "telephone_number": "407-923-2223",
            "fax_number": "407-483-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIPTION SHOPPES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-923-2223",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PH19331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026053301",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1068522",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PH19331",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Preferred Radiology Alliance, PLLC
• Premier Allergist of Florida LLC (Allervie Health)
• Premier Infectious Disease Consultants LLC
• Prescribed Pediatric Extended Care, Inc
• Prescribed Pediatric Extended Care, Inc
• Prescription Shoppes LLC (The Medicine Shoppe)
• Presgar Imaging of Daytona, LLLP (Open MRI of Daytona)
• Malinda Gail Presson, LCSW
• Barbara Preston
• Destiny Preston

• Pharmacist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.