Active NPI
The Apothecary at DMH, LLC
- Community/Retail Pharmacy
- Arcadia, FL
National Provider Identifier
1558953265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.SuncoastRHIOHIH.net | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221215002070 | FL | Part B Supplier - Pharmacy | 3173992047 | Practice locations: Arcadia, FL |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Desoto Memorial Home Health
- Home Health Agency
- Arcadia, FL
- NPI 1629397096
Member Of
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
- Summer Days Spa
- Miranda L Sunday, LPN
- Tampa General Hospital Desoto LLC (TGH DeSoto)
- Tampa General Hospital Desoto LLC (TGH DeSoto Home Health Agency)
- Kathiravelu Thabolingam, MD
- The Good Care Group Incorporated
- Therapeutic Management Services, LLC
- Therapeuticfx, LLC
- Therapeuticfx, LLC
- Lucie Remy Thomas, PMHNP
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.