NPIMap

Organization Active NPI

Oviedo Pharmacy and Drug Store LLC

  • Mail Order Pharmacy
  • Oviedo, FL
National Provider Identifier
1417700550
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
Legal business name
OVIEDO PHARMACY AND DRUG STORE LLC
Doing business as
SubscribedRx
Practice address
784 S Central Ave
Oviedo, FL 32765-8060
Phone
(407) 977-9779
Fax
(407) 977-0079
NPI assigned
Apr 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Ian Tasman, PHARMD
Title
Manager
Phone
(407) 977-9779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X Primary

Addresses

Primary practice location

784 S Central Ave
Oviedo, FL 32765-8060

Mailing address

784 S Central Ave
Oviedo, FL 32765-8060
Phone (407) 977-9779

Other names 1

  • SubscribedRx Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oviedo Pharmacy and Drug Store LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1417700550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 S CENTRAL AVE",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658060",
            "telephone_number": "407-977-9779",
            "fax_number": "407-977-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 S CENTRAL AVE",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658060",
            "telephone_number": "407-977-9779",
            "fax_number": "407-977-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVIEDO PHARMACY AND DRUG STORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "TASMAN",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-977-9779",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SubscribedRx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.