Amicitia Pharma LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

AMICITIA PHARMA LLC

Practice address

4105 49TH St N Ste B
Saint Petersburg, FL 33709-5711

Phone

(727) 954-8877

Fax

(727) 329-8872

NPI assigned

Mar 7, 2019

Organization subpart

No

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

Authorized official

Name

Sokha Yim, PHARM.D.

Title

Pharmacy Manager

Phone

(727) 954-8877

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• 1st Choice Pharmacy Doing business as

Tax ID family

1St Choice Pharmacy2 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.

• Amicitia Pharma LLC

  • Community/Retail Pharmacy
  • St Petersburg, FL
  • NPI 1558657718
  NPD tax ID

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 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)…
• 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)

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1386102424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 49TH ST N STE B",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337095711",
            "telephone_number": "727-954-8877",
            "fax_number": "727-329-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 49TH ST N STE B",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337095711",
            "telephone_number": "727-954-8877",
            "fax_number": "727-329-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMICITIA PHARMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "YIM",
        "authorized_official_first_name": "SOKHA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "727-954-8877",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003884500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1st Choice Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• American Family & Geriatric Care PA
• American Medical Equipments LLC
• Americare Physicians Group, LLC
• Americhair Transport Service Inc.
• Tricia Ames
• Amicitia Pharma LLC
• Kristin Amicone
• Amigo Art Therapy, PLLC
• Chirag Amin, RPH
• Dipti Amin, M.D.

• Long Term Care Pharmacy in Saint Petersburg, FL
• Providers in Saint Petersburg, 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 Mar 7, 2019; 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.