Organization Active NPI

Shared Pharmacy Holdings LLC

Doing business as Shared Pharmacy Services

  • Long Term Care Pharmacy
  • Orlando, FL
National Provider Identifier
1467761429
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PH24886 Issued in FL
Legal business name
SHARED PHARMACY HOLDINGS LLC
Doing business as
Shared Pharmacy Services
Practice address
6149 Chancellor Dr Ste 2780
Orlando, FL 32809-5680
Phone
(407) 251-5492
Fax
(407) 251-5392
NPI assigned
Sep 24, 2010
Last updated
Oct 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Haven Perkins
Title
Coo
Phone
(407) 804-1836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X PH24886 FL Primary

Addresses

Primary practice location

6149 Chancellor Dr Ste 2780
Orlando, FL 32809-5680

Mailing address

6149 Chancellor Dr
Suite 2780
Orlando, FL 32809-5680
Phone (407) 251-5492

Other identifiers 1

IdentifierTypeStateIssuer
5701936OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • SHARED PHARMACY SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shared Pharmacy Holdings LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1467761429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6149 CHANCELLOR DR",
            "address_2": "SUITE 2780",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328095680",
            "telephone_number": "407-251-5492",
            "fax_number": "407-251-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6149 CHANCELLOR DR STE 2780",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328095680",
            "telephone_number": "407-251-5492",
            "fax_number": "407-251-5392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARED PHARMACY HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "HAVEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "407-804-1836"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH24886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5701936",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHARED PHARMACY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.