Organization Active NPI

Amocare Health Services

  • Community/Retail Pharmacy
  • Wesley Chapel, FL
National Provider Identifier
1417422346
Registry record updated Mar 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
AMOCARE HEALTH SERVICES
Practice address
5329 Village Market
Wesley Chapel, FL 33544-8451
Phone
(813) 467-8400
NPI assigned
Oct 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2021

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

Authorized official

Name
Dr. Georgina Amoah, PHARMDNPI 1447849690
Title
Pharmacist
Phone
(850) 345-7754

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

5329 Village Market
Wesley Chapel, FL 33544-8451

Mailing address

5329 Village Market
Wesley Chapel, FL 33544-8451
Phone (813) 467-8400

Other identifiers 1

IdentifierTypeStateIssuer
101408500MedicaidFL

Other names 1

  • Graceland Pharmacy & Medical Supply Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210301000661 FL Part B Supplier - Pharmacy 1153736095 Practice locations: Land O Lakes, FL

National Provider Directory

National Provider Directory

Locations

21625 Village Lakes Shopping Ctr Dr
Land O Lakes, FL 34639
Phone (813) 467-8400

5329 Village Market
Wesley Chapel, FL 33544
Phone (813) 467-8400

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)

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1538870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614988800000",
    "number": "1417422346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5329 VILLAGE MARKET",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335448451",
            "telephone_number": "813-467-8400",
            "fax_number": "813-441-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5329 VILLAGE MARKET",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335448451",
            "telephone_number": "813-467-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMOCARE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-07",
        "last_updated": "2021-03-06",
        "certification_date": "2021-03-06",
        "status": "A",
        "authorized_official_last_name": "AMOAH",
        "authorized_official_first_name": "GEORGINA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "850-345-7754",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101408500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Graceland Pharmacy & Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Graceland Pharmacy & Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2021; 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.

Verify at the official NPI Registry.