Active NPI
Hanna Pharmacy LLC
- Community/Retail Pharmacy
- Punta Gorda, FL
National Provider Identifier
1568042893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- HANNA PHARMACY LLC
- Practice address
- 27650 Bermont Rd Unit 4
Punta Gorda, FL 33982-1996 - Phone
- (941) 290-5484
- Fax
- (941) 290-5485
- NPI assigned
- Apr 12, 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
- Tulsiben Patel
- Title
- Pharmacy Owner
- Phone
- (386) 299-7199
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
27650 Bermont Rd Unit 4
Punta Gorda, FL 33982-1996
Mailing address
27650 Bermont Rd Unit 4
Punta Gorda, FL 33982-1996
Phone (941) 290-5484
Other names 1
- Punta Gorda Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210723000347 | FL | Part B Supplier - Pharmacy | 0840693297 | Practice locations: Punta Gorda, FL |
National Provider Directory
National Provider Directory- Tax ID family
- Hanna Pharmacy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- North Port, FL
- NPI 1972598738
Locations
13221 Tamiami Trl
North Port, FL 34287
Phone (941) 426-1123
27650 Bermont Rd
Unit 4
Punta Gorda, FL 33982
Phone (941) 290-5484
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- North Port, FL
- NPI 1114517794
-
- Pharmacist
- North Port, FL
- NPI 1134406234
-
- Pharmacist
- North Port, FL
- NPI 1154412641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728000000000",
"number": "1568042893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27650 BERMONT RD UNIT 4",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339821996",
"telephone_number": "941-290-5484",
"fax_number": "941-290-5485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27650 BERMONT RD UNIT 4",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339821996",
"telephone_number": "941-290-5484",
"fax_number": "941-290-5485"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANNA PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-12",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "TULSIBEN",
"authorized_official_title_or_position": "PHARMACY OWNER",
"authorized_official_telephone_number": "386-299-7199"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Punta Gorda Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Punta Gorda, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.