Michael A Dorchak, PHARM. D

Individual provider Active NPI Pharmacist · Key Largo, FL

NPI 1346861408 · NPPES record last updated Apr 29, 2020

Key facts

NPI
1346861408
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PS49081 (FL)
Practice address
99434 Overseas Hwy
Key Largo, FL 33037-2459
Phone
(305) 451-3261
Fax
(305) 451-7016
NPI assigned
Apr 29, 2020
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS49081FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Holiday CVS L.L.C. Past
since May 3, 2020
Accepting new patients
Holiday CVS LLC Past
since May 3, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS49081 FL Yes

Addresses

Primary practice location

99434 Overseas Hwy
Key Largo, FL 33037-2459

Mailing address

99434 Overseas Hwy
Key Largo, FL 33037-2459
Phone (305) 451-3261

Other providers in Key Largo, FL

All providers in Key Largo, FL · Pharmacist in Florida

Sources for this page

Verify at the official NPI Registry.