Pricare Health LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PRICARE HEALTH LLC

Doing business as

Main Street Medical Centers

Practice address

6506 Embassy Blvd
Port Richey, FL 34668-4734

Phone

(727) 378-2987

NPI assigned

Oct 8, 2018

Last updated

Aug 9, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

MAIN STREET MEDICAL LLCAs reported in NPPES

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

Authorized official

Name

Stephen O Banjoko

Title

Cfo

Phone

(212) 257-0225

Specialties & licenses 2

Addresses

Other names 1

• MAIN STREET MEDICAL CENTERS Doing business as

Part of

Main Street Medical LLC

Locations

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1457826398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17175",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336827175",
            "telephone_number": "813-220-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6506 EMBASSY BLVD",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346684734",
            "telephone_number": "727-378-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRICARE HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAIN STREET MEDICAL LLC",
        "enumeration_date": "2018-10-08",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "BANJOKO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "212-257-0225"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAIN STREET MEDICAL CENTERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ritchie R Plummer, D.O.
• PN Group LLC (port richey pharmacy healthmart)
• Asary Posada Hernandez Sr., RBT
• Premier Community Healthcare Group, Inc
• Premier Community Healthcare Group, Inc
• Primary Care Associates of Port Richey
• Primary Eye Care of Florida, LLC
• Progressive Mobilty Consultants LLC (Progressive Mobility)
• Publix Super Markets Inc (Publix Pharmacy #0767)
• Purpose Driven Home Care LLC

• Clinic/Center in Port Richey, FL
• Providers in Port Richey, FL by specialty
• Clinic/Center in Florida

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