St. Mary and St. Anthony LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ST. MARY AND ST. ANTHONY LLC

Practice address

378 SE Port St Lucie Blvd
Port Saint Lucie, FL 34984-5111

Phone

(772) 713-1244

NPI assigned

Jun 29, 2021

Organization subpart

No

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

Authorized official

Name

Michael Marzouk

Title

Owner

Phone

(772) 713-9303

Specialties & licenses 1

Addresses

Other names 1

• Royal Care pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• St. Mary and St. Anthony LLC

  • Community/Retail Pharmacy
  • Fort Pierce, FL
  • NPI 1396325684

  O20211012000105

  Same enrollment

Tax ID family

Royal Care Pharmacy3 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.

• St. Mary and St. Anthony LLC

  • Community/Retail Pharmacy
  • Vero Beach, FL
  • NPI 1174280911
  NPD tax ID
• St. Mary and St. Anthony LLC

  • Community/Retail Pharmacy
  • Fort Pierce, FL
  • NPI 1396325684
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• St. Mary and St. Anthony LLC

  • Community/Retail Pharmacy
  • Vero Beach, FL
  • NPI 1174280911

  Member Of

  NPD member

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 Maximo (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)

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hany Tawadrous

  • Pharmacist
  • Fort Pierce, FL
  • NPI 1811591118
  NPD
• Akram Loka, RPH

  • Pharmacist
  • Fort Pierce, FL
  • NPI 1497872535
  NPD (past)

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1487224838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 21ST CT SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329623369",
            "telephone_number": "772-713-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 SE PORT ST LUCIE BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349845111",
            "telephone_number": "772-713-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY AND ST. ANTHONY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "MARZOUK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-713-9303"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Care pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Lonn Spooner, L.P.T.
• St Lucie Medical Associates Inc
• St Lucie Wellness and Rehab,LLC
• Myrtha St Victor
• St. Lucie Hope Gardens LLC
• Christopher Michael Stabile, EDD BCBA-D
• Lucia Bernadette Stanfield, LMHC-QS
• Karen Jeanne Stanton, COTA/L
• Star Angels Adult Family Care Home
• Alexander Starek, PA-C

• Community/Retail Pharmacy in Port Saint Lucie, FL
• Providers in Port Saint Lucie, 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 Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.