Organization Active NPI

Cinergy Pharmacy LLC

  • Community/Retail Pharmacy
  • Orlando, FL
National Provider Identifier
1619214616
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH26616 Issued in FL
Legal business name
CINERGY PHARMACY LLC
Practice address
2116 S Orange Ave
Suite B
Orlando, FL 32806-3055
Phone
(407) 757-0567
Fax
(855) 274-0569
NPI assigned
Jan 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Authorized official

Name
Tashima Kenny
Title
Manager
Phone
(407) 757-0567

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X NP000008 PA
Community/Retail Pharmacy 3336C0003X PH26616 FL Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

2116 S Orange Ave
Suite B
Orlando, FL 32806-3055

Mailing address

2116 S Orange Ave
Suite B
Orlando, FL 32806-3055
Phone (407) 757-0567

Other identifiers 1

IdentifierTypeStateIssuer
2141577OtherPK

Other names 1

  • Vital Care Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1619214616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 S ORANGE AVE",
            "address_2": "SUITE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328063055",
            "telephone_number": "407-757-0567",
            "fax_number": "855-274-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 S ORANGE AVE",
            "address_2": "SUITE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328063055",
            "telephone_number": "407-757-0567",
            "fax_number": "855-274-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINERGY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-10",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "KENNY",
        "authorized_official_first_name": "TASHIMA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-757-0567"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "NP000008",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH26616",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141577",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Care 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 Oct 21, 2016; 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.