Active NPI
Aryan Retail LLC
Doing business as Medicine Shoppe
- Community/Retail Pharmacy
- Lehigh Acres, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- ARYAN RETAIL LLC
- Doing business as
- Medicine Shoppe
- Practice address
- 57 Homestead Rd N
Lehigh Acres, FL 33936-6607 - Phone
- (239) 369-0141
- NPI assigned
- Dec 30, 2005
- Last updated
- May 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Abdel Aryan, RPH
- Title
- President
- Phone
- (239) 369-0141
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | FL | Primary | |
| Long Term Care Pharmacy | 3336L0003X | NU |
Addresses
Primary practice location
57 Homestead Rd N
Lehigh Acres, FL 33936-6607
Mailing address
57 Homestead Rd N
Lehigh Acres, FL 33936-6607
Phone (239) 369-0141
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022960101 | Medicaid | FL | |
| 022960100 | Medicaid | FL | |
| 1051200 | Other | FL | NCPDP # |
Other names 1
- Medicine Shoppe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930041351 | FL | DME Supplier - Pharmacy | 3375755192 | Practice locations: Lehigh Acres, FL |
National Provider Directory
National Provider Directory- Tax ID family
- Aryan Retail LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Medicine Shoppe Long Term Care
- Long Term Care Pharmacy
- Lehigh Acres, FL
- NPI 1265259956
Locations
25 Homestead Rd N
#57
Lehigh Acres, FL 33936
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Medicine Shoppe Long Term Care
- Long Term Care Pharmacy
- Lehigh Acres, FL
- NPI 1265259956
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Pharmacist
- Lehigh Acres, FL
- NPI 1093808552
-
- Pharmacist
- Lehigh Acres, FL
- NPI 1497849566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716854400000",
"number": "1407833437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 HOMESTEAD RD N",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339366607",
"telephone_number": "239-369-0141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 HOMESTEAD RD N",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339366607",
"telephone_number": "239-369-0141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARYAN RETAIL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-30",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A",
"authorized_official_last_name": "ARYAN",
"authorized_official_first_name": "ABDEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "239-369-0141",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"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": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022960101",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022960100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP #",
"identifier": "1051200",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medicine Shoppe",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.