Organization Active NPI

Partners Pharmacy of Florida, LLC

Doing business as Advanced Pharmacy

  • Long Term Care Pharmacy
  • Lake Mary, FL
National Provider Identifier
1396917381
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PH26431 Issued in FL
Legal business name
PARTNERS PHARMACY OF FLORIDA, LLC
Doing business as
Advanced Pharmacy
Practice address
45 Skyline Dr
Suite 1011
Lake Mary, FL 32746-6224
Phone
(407) 805-8300
Fax
(407) 829-7346
NPI assigned
Mar 31, 2008
Last updated
Jan 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Kelley Gladwell
Title
Director of Third Party Administrat
Phone
(908) 931-9111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X PH26431 FL Primary

Addresses

Primary practice location

45 Skyline Dr
Suite 1011
Lake Mary, FL 32746-6224

Mailing address

50 Lawrence Rd
Springfield, NJ 07081-3121
Phone (201) 563-4592

Other identifiers 1

IdentifierTypeStateIssuer
2011282OtherPK

Other names 1

  • ADVANCED PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

45 Skyline Dr
Ste 101
Lake Mary, FL 32746
Phone (407) 805-8300

45 Skyline Dr
Ste 1011
Lake Mary, FL 32746
Phone (407) 805-8300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1396917381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LAWRENCE RD",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813121",
            "telephone_number": "201-563-4592",
            "fax_number": "407-829-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SKYLINE DR",
            "address_2": "SUITE 1011",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466224",
            "telephone_number": "407-805-8300",
            "fax_number": "407-829-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS PHARMACY OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "GLADWELL",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "DIRECTOR OF THIRD PARTY ADMINISTRAT",
        "authorized_official_telephone_number": "908-931-9111"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH26431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2011282",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ADVANCED PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.