NPIMap

Organization Active NPI

Prescription Shoppes LLC

  • Community/Retail Pharmacy
  • Kissimmee, FL
National Provider Identifier
1427248392
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH19069 Issued in FL
Legal business name
PRESCRIPTION SHOPPES LLC
Doing business as
The Medicine Shoppe
Practice address
114 Broadway
Kissimmee, FL 34741-5714
Phone
(407) 847-2424
Fax
(407) 483-0265
NPI assigned
Jul 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Samir V. Amin, RPH, CPH, MBA
Title
Director
Phone
(407) 847-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH19069 FL Primary

Addresses

Primary practice location

114 Broadway
Kissimmee, FL 34741-5714

Mailing address

114 Broadway
Kissimmee, FL 34741-5714
Phone (407) 847-2424

Other identifiers 1

IdentifierTypeStateIssuer
1006421OtherFLNCPDP #

Other names 1

  • The Medicine Shoppe Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1427248392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 BROADWAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415714",
            "telephone_number": "407-847-2424",
            "fax_number": "407-483-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 BROADWAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415714",
            "telephone_number": "407-847-2424",
            "fax_number": "407-483-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIPTION SHOPPES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-847-2424",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH, CPH, MBA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH19069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "1006421",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.