Active NPI
Direct Retail Pharmacy LLC
Doing business as Direct Retail Pharmacy
- Community/Retail Pharmacy
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2025
- Organization subpart
- Yes
- Parent organization
- DIRECT RETAIL PHARMACY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. An Duc Dang
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013810000 | Medicaid | FL |
Other names 1
- Direct Retail Pharmacy
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 Network
- Optimum HealthCare HMO Network
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.
-
- Pharmacist
- Orlando, FL
- NPI 1245515949
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.