Plaza Pharmacy,LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PLAZA PHARMACY,LLC

Practice address

3094 Curry Ford Rd
Orlando, FL 32806-3376

Phone

(407) 751-3333

Fax

(407) 751-5626

NPI assigned

Aug 24, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Paul Chuma Ezeobinwa, PHARMD

Title

Pharmacy Manager

Phone

(407) 751-3333

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1689129173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3094 CURRY FORD RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328063376",
            "telephone_number": "407-751-3333",
            "fax_number": "407-751-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3094 CURRY FORD RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328063376",
            "telephone_number": "407-751-3333",
            "fax_number": "407-751-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA PHARMACY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "EZEOBINWA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "CHUMA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "407-751-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023786700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.PLAZAPHARMDR.COM",
            "affiliation": "N",
            "endpointDescription": "WEBSITE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3094 Curry Ford Rd",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328063376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community/Retail Pharmacy in Orlando, FL
• Providers in Orlando, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.