Maha Sai LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH31292 Issued in FL

Legal business name

MAHA SAI LLC

Doing business as

Lake Sumter Landing Pharmacy

Practice address

910 Old Camp Rd Ste 170
The Villages, FL 32162-5609

Phone

(352) 268-3454

Fax

(888) 855-1807

NPI assigned

Mar 27, 2018

Last updated

May 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hardik Shah

Title

Owner

Phone

(352) 272-5944

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• LAKE SUMTER LANDING PHARMACY Doing business as

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1396240818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 DUSTY PINE DR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327038006",
            "telephone_number": "352-272-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 OLD CAMP RD STE 170",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625609",
            "telephone_number": "352-268-3454",
            "fax_number": "888-855-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHA SAI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "HARDIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-272-5944"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH31292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176638",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKE SUMTER LANDING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolyn Sosing Macuha, RN, MAN
• Faustino Ang Macuha Jr., MD
• Michelle Madonna, ARNP
• Roger J Madore, PA CC
• Magnolia Pharmacyone LLC
• William Barton Mahan, HAS-BC 1808
• Jamie Mahaney, DC
• Seemab Nazar Malik, M.D.
• Corey Jamian Mallette, LCSW
• Kirkland Malone

• Community/Retail Pharmacy in The Villages, FL
• Providers in The Villages, 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 May 27, 2020; 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.