Organization Active NPI

Tristar Discount Pharmacy LLC

Doing business as Tristar Discount Pharmacy

  • Community/Retail Pharmacy
  • Orlando, FL
National Provider Identifier
1598215675
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH30401 Issued in FL
Legal business name
TRISTAR DISCOUNT PHARMACY LLC
Doing business as
Tristar Discount Pharmacy
Practice address
1502 N Semoran Blvd Ste 154
Orlando, FL 32807-3545
Phone
(407) 440-3436
Fax
(407) 237-0674
NPI assigned
Oct 12, 2016
Last updated
Jul 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Maher Chaar, RPH
Title
Pic Member
Phone
(315) 383-5797

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PH30401 FL Primary

Addresses

Primary practice location

1502 N Semoran Blvd Ste 154
Orlando, FL 32807-3545

Mailing address

1502 N Semoran Blvd Ste 154
Orlando, FL 32807-3545
Phone (407) 440-3436

Other identifiers 2

IdentifierTypeStateIssuer
2164650OtherPK
01997200MedicaidFL

Other names 1

  • Tristar Discount Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1502 N Semoran Blvd
Ste 154
Orlando, FL 32807
Phone (407) 440-3436

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1598215675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 N SEMORAN BLVD STE 154",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073545",
            "telephone_number": "407-440-3436",
            "fax_number": "407-237-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 N SEMORAN BLVD STE 154",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073545",
            "telephone_number": "407-440-3436",
            "fax_number": "407-237-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTAR DISCOUNT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "CHAAR",
        "authorized_official_first_name": "MAHER",
        "authorized_official_title_or_position": "PIC MEMBER",
        "authorized_official_telephone_number": "315-383-5797",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH30401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164650",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01997200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tristar Discount 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 Jul 19, 2018; 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.