Prescription Shoppes LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH19331 Issued in FL

Legal business name

PRESCRIPTION SHOPPES LLC

Doing business as

The Medicine Shoppe

Practice address

864 Orange Ave
Daytona Beach, FL 32114-4770

Phone

(386) 253-1691

Fax

(386) 253-1693

NPI assigned

Jul 25, 2007

Organization subpart

No

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

Addresses

Other identifiers 3

Other names 1

• The Medicine Shoppe Doing business as

Locations

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1508066739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 ORANGE AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144770",
            "telephone_number": "386-253-1691",
            "fax_number": "386-253-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 ORANGE AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144770",
            "telephone_number": "386-253-1691",
            "fax_number": "386-253-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIPTION SHOPPES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "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": "PH19331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026053300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026053301",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "1068522",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Presgar Imaging of Daytona, LLLP
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• Barbara Preston
• Destiny Preston
• Kelly R. Preston, BSW, TCM

• Community/Retail Pharmacy in Daytona Beach, FL
• Providers in Daytona Beach, 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 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.