ZMS 1 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH25165 Issued in FL

Legal business name

ZMS 1 LLC

Doing business as

The Medicine Shoppe Pharmacy

Practice address

22 Broadway
Kissimmee, FL 34741-5712

Phone

(407) 483-5881

Fax

(407) 483-5883

NPI assigned

Oct 21, 2010

Organization subpart

No

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

Authorized official

Name

Shamim Soomro

Title

Assistant

Phone

(407) 483-5881

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• The Medicine Shoppe Pharmacy Doing business as

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1528368776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BROADWAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415712",
            "telephone_number": "407-483-5881",
            "fax_number": "407-483-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BROADWAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415712",
            "telephone_number": "407-483-5881",
            "fax_number": "407-483-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZMS 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "SOOMRO",
        "authorized_official_first_name": "SHAMIM",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "407-483-5881"
    },
    "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": "PH25165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003401100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128060",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dianne S Zullow, MD
• Ana Lucia Zuniga, M.A., CCC-SLP

• Community/Retail Pharmacy in Kissimmee, FL
• Providers in Kissimmee, 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 Oct 6, 2014; 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.