Organization Active NPI

Archangel Pharmacy LLC

Doing business as Angel Pharmacy LTC

  • Long Term Care Pharmacy
  • Hudson, FL
National Provider Identifier
1598565897
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ARCHANGEL PHARMACY LLC
Doing business as
Angel Pharmacy LTC
Practice address
7306 State Road 52 Ste 4
Hudson, FL 34667-6750
Phone
(727) 300-2087
Fax
(727) 300-2087
NPI assigned
Mar 17, 2025
Last updated
Mar 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Michael IbrahimNPI 1588120372
Title
Owner
Phone
(646) 280-9084

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

7306 State Road 52 Ste 4
Hudson, FL 34667-6750

Mailing address

7306 State Road 52 Ste 4
Hudson, FL 34667-6750
Phone (727) 300-2087

Other names 1

  • Angel Pharmacy LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Angel Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7306 State Road 52
Ste 4
Hudson, FL 34667
Phone (646) 280-9084

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1598565897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7306 STATE ROAD 52 STE 4",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676750",
            "telephone_number": "727-300-2087",
            "fax_number": "727-300-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7306 STATE ROAD 52 STE 4",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676750",
            "telephone_number": "727-300-2087",
            "fax_number": "727-300-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHANGEL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-15",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-280-9084"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angel Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hudson, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.