Mediserv Pharmacy Services LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

PH 19957 Issued in FL

Legal business name

MEDISERV PHARMACY SERVICES LLC

Practice address

5736 Clark Rd
Sarasota, FL 34233-3302

Phone

(941) 927-2811

Fax

(941) 927-2812

NPI assigned

Jun 14, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Craig Alan Hollingsworth Sr.

Title

Chief Operating Officer

Phone

(941) 927-2811

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Mazzarini, CPHT

  • Pharmacy Technician
  • Sarasota, FL
  • NPI 1841592367
  NPD (past)

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1386649747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5736 CLARK RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333302",
            "telephone_number": "941-927-2811",
            "fax_number": "941-927-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5736 CLARK RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333302",
            "telephone_number": "941-927-2811",
            "fax_number": "941-927-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDISERV PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HOLLINGSWORTH",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "941-927-2811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH 19957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "1075084",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PH 19957",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Zulma Ines Medina
• Mediserv Infusion LLC
• Medox Corporation
• Medpeds Associates of Sarasota
• Medshift Now LLC
• Boris Medvedovsky, D O
• Amy Meeker, AP, DOM

• Pharmacy in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Pharmacy 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.