Organization Active NPI

Direct Retail Pharmacy LLC

Doing business as Direct Retail Pharmacy

  • Community/Retail Pharmacy
  • Orlando, FL
National Provider Identifier
1518366319
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DIRECT RETAIL PHARMACY LLC
Doing business as
Direct Retail Pharmacy
Practice address
5050 Conway Rd Ste 1
Orlando, FL 32812-1200
Phone
(407) 203-0005
Fax
(407) 480-5355
NPI assigned
Aug 18, 2014
Last updated
May 16, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
DIRECT RETAIL PHARMACYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Mr. An Duc DangNPI 1245515949
Title
Pharmacist/Owner
Phone
(407) 406-1447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PSS50205 FL
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

5050 Conway Rd Ste 1
Orlando, FL 32812-1200

Mailing address

5050 Conway Rd Ste 1
Orlando, FL 32812-1200
Phone (407) 203-0005

Other identifiers 1

IdentifierTypeStateIssuer
013810000MedicaidFL

Other names 1

  • Direct Retail Pharmacy Doing business as

National Provider Directory

National Provider Directory
Part of
Direct Retail Pharmacy LLC

Locations

5050 Conway Rd
Ste 1
Orlando, FL 32812
Phone (407) 203-0005

5060 Conway Rd
Orlando, FL 32812

5060 Conway Rd
Ste 1
Orlando, FL 32812

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)

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1518366319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 CONWAY RD STE 1",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328121200",
            "telephone_number": "407-203-0005",
            "fax_number": "407-480-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 CONWAY RD STE 1",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328121200",
            "telephone_number": "407-203-0005",
            "fax_number": "407-480-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT RETAIL PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIRECT RETAIL PHARMACY",
        "enumeration_date": "2014-08-18",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "AN",
        "authorized_official_middle_name": "DUC",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "407-406-1447",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PSS50205",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013810000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Direct Retail Pharmacy",
            "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 May 16, 2025; 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.