Medicure Longwood Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH26988 Issued in FL

Legal business name

MEDICURE LONGWOOD INC

Doing business as

medicure Longwood

Practice address

420 W State Road 434 Ste 100
Longwood, FL 32750-5159

Phone

(407) 434-0433

Fax

(407) 910-2184

NPI assigned

Aug 5, 2013

Last updated

Apr 12, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sunny Aggarwal

Title

Manager, Ao

Phone

(407) 434-0433

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• medicure Longwood Doing business as

Locations

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 Máximo (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)

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1467884031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W STATE ROAD 434",
            "address_2": "SUITE 100",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505159",
            "telephone_number": "407-434-0433",
            "fax_number": "407-910-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W STATE ROAD 434 STE 100",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505159",
            "telephone_number": "407-434-0433",
            "fax_number": "407-910-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICURE LONGWOOD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "AGGARWAL",
        "authorized_official_first_name": "SUNNY",
        "authorized_official_title_or_position": "MANAGER, AO",
        "authorized_official_telephone_number": "407-434-0433"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH26988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015528500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141563",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "medicure Longwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Audrey Annette Meacham, MSW
• Lonnie Meade, D.C.
• Med Pro Elite
• Medcare Services of Orlando, Inc. (Medcare Services)
• Medi Health
• Angela J Medina-Lago
• Diandra Medina
• Jaysa Medina, RBT
• Violeta Medina
• Jorge Y Melendez Noriega, MA

• Community/Retail Pharmacy in Longwood, FL
• Providers in Longwood, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.