Organization Active NPI

Ganeshkrupa LLC

Doing business as Specialty RX FLW

  • Long Term Care Pharmacy
  • Orlando, FL
National Provider Identifier
1639669989
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
GANESHKRUPA LLC
Doing business as
Specialty RX FLW
Practice address
8075 Beacon Lake Dr Ste 600
Orlando, FL 32809-7246
Phone
(813) 548-2493
Fax
(813) 278-8025
NPI assigned
May 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Joel Zupnick, AO
Title
Vice President
Phone
(908) 241-6337

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH31399 FL
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

8075 Beacon Lake Dr Ste 600
Orlando, FL 32809-7246

Mailing address

2 Bergen Tpke
Ridgefield Park, NJ 07660-2390
Phone (908) 241-6337

Other identifiers 1

IdentifierTypeStateIssuer
101668600MedicaidFL

Other names 1

  • Specialty RX FLW Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220909002255 FL DME Supplier - Pharmacy 1850776972 Practice locations: Orlando, FL
O20241017001905 FL Part B Supplier - Mass Immunization (Roster Biller Only) 1850776972 Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

5603 Skytop Dr
Lithia, FL 33547
Phone (813) 548-2493

8075 Beacon Lake Dr
Ste 600
Orlando, FL 32809
Phone (813) 548-2493

502 Sunport Ln
Ste 550
Orlando, FL 32809
Phone (786) 832-0775

Networks

  • 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)
  • 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 Maximo (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)…

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1639669989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BERGEN TPKE",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076602390",
            "telephone_number": "908-241-6337",
            "fax_number": "908-634-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8075 BEACON LAKE DR STE 600",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097246",
            "telephone_number": "813-548-2493",
            "fax_number": "813-278-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANESHKRUPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-12",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "ZUPNICK",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "908-241-6337",
        "authorized_official_credential": "AO"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH31399",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101668600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialty RX FLW",
            "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 Jun 11, 2025; 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.

Verify at the official NPI Registry.