Malooka Pharma Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH31161 Issued in FL

Legal business name

MALOOKA PHARMA CORP

Doing business as

Apothicare at Lakewood Ranch

Practice address

8618 E State Road 70
Bradenton, FL 34202-3785

Phone

(941) 751-5000

Fax

(941) 751-5002

NPI assigned

Nov 21, 2017

Organization subpart

No

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

Authorized official

Name

Hamed Abouzeid

Title

Owner

Phone

(973) 479-8032

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Apothicare at Lakewood Ranch Doing business as

Locations

Networks

• 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)
• 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 Maximo (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)…

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528675200000",
    "number": "1346754777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8618 EAST SR 70",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34202",
            "telephone_number": "941-751-5000",
            "fax_number": "941-751-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8618 E STATE ROAD 70",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342023785",
            "telephone_number": "941-751-5000",
            "fax_number": "941-751-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALOOKA PHARMA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2018-06-11",
        "status": "A",
        "authorized_official_last_name": "ABOUZEID",
        "authorized_official_first_name": "HAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-479-8032"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH31161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177548",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apothicare at Lakewood Ranch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aisha Mohsin Malik, M.D.
• Rajesh Malik, M.D.
• Lucas W Maliwacki, PA-C
• Loretta R Mallari, ARNP
• George Darren Malone, PHARMD.
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• Manasota Accident & Injury Center, LLC
• Manasota Assoc. for Retarded Citizens
• Manasota Massage
• Manasota Pharmacy Services LLC

• Community/Retail Pharmacy in Bradenton, FL
• Providers in Bradenton, 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 Jun 11, 2018; 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.