Organization Active NPI

The Apothecary at DMH, LLC

  • Community/Retail Pharmacy
  • Arcadia, FL
National Provider Identifier
1558953265
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
THE APOTHECARY AT DMH, LLC
Practice address
900 N Robert Ave
Arcadia, FL 34266-8712
Phone
(863) 494-3535
NPI assigned
Feb 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Authorized official

Name
Mr. Vincent A Sica
Title
Ceo
Phone
(863) 494-3535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

900 N Robert Ave
Arcadia, FL 34266-8712

Mailing address

PO Box 2177
Arcadia, FL 34265-2177
Phone (863) 494-3535

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.SuncoastRHIOHIH.net Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221215002070 FL Part B Supplier - Pharmacy 3173992047 Practice locations: Arcadia, FL

National Provider Directory

National Provider Directory

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1558953265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2177",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342652177",
            "telephone_number": "863-494-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N ROBERT AVE",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342668712",
            "telephone_number": "863-494-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE APOTHECARY AT DMH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "SICA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-494-3535",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.SuncoastRHIOHIH.net",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.1588.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMDeMDR",
            "address_1": "5020 Clark Rd # 127",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342333231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arcadia, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.