Active NPI
Midway Specialty Care RX LLC.
- Community/Retail Pharmacy
- Temple Terrace, FL
National Provider Identifier
1689319709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MIDWAY SPECIALTY CARE RX LLC.
- Practice address
- 11458 N 53Rd St
Temple Terrace, FL 33617-2216 - Phone
- (813) 733-8224
- NPI assigned
- May 3, 2022
- Last updated
- Aug 28, 2026
- Organization subpart
- Yes
- Parent organization
- MIDWAY SPECIALTY CARE CENTER INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Suzette Wood, PHARMD
- Title
- Pharmacy Director
- Phone
- (772) 464-9746
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
11458 N 53Rd St
Temple Terrace, FL 33617-2216
Mailing address
3255 S US Highway 1
Fort Pierce, FL 34982-6381
Phone (772) 464-9746
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH33929 | Other | FL | PHARMACY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200617000570 | FL | Part B Supplier - Pharmacy | 6608298823 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Wilton Manors, FL; West Palm Beach, FL; Fort Pierce, FL; Temple Terrace, FL |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Community/Retail Pharmacy
- Wilton Manors, FL
- NPI 1114516523
O20200617000570
-
- Community/Retail Pharmacy
- Fort Pierce, FL
- NPI 1467830638
O20200617000570
-
- Community/Retail Pharmacy
- West Palm Beach, FL
- NPI 1811781438
O20200617000570
National Provider Directory
National Provider Directory- Tax ID family
- Midway Specialty Care RX
- Part of
- Midway Specialty Care Center Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Wilton Manors, FL
- NPI 1114516523
-
- Community/Retail Pharmacy
- Fort Pierce, FL
- NPI 1467830638
-
- Community/Retail Pharmacy
- West Palm Beach, FL
- NPI 1811781438
Locations
11458 N 53rd St
Temple Terrace, FL 33617
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Infectious Disease Physician
- Fort Pierce, FL
- NPI 1376970814
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.
-
- Ambulatory Care Pharmacist
- Fort Pierce, FL
- NPI 1366942039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787875200000",
"number": "1689319709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3255 S US HIGHWAY 1",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349826381",
"telephone_number": "772-464-9746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11458 N 53RD ST",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336172216",
"telephone_number": "813-733-8224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWAY SPECIALTY CARE RX LLC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MIDWAY SPECIALTY CARE CENTER INC",
"enumeration_date": "2022-05-03",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A",
"authorized_official_last_name": "WOOD",
"authorized_official_first_name": "SUZETTE",
"authorized_official_title_or_position": "PHARMACY DIRECTOR",
"authorized_official_telephone_number": "772-464-9746",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "PH33929",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Temple Terrace, FL
- Lily Hannah Mestuzzi
- Metamorphosis Life Revitalizing Center
- Metcare of Florida Inc. (Clinical Care Fowler)
- Metro Infusion Center PLLC
- Miami Beach Medical Consultants, LLC. (Clinical Care Medical Centers)
- Alex Elliott Mierke, M. D.
- Mark A Mighell, MD
- Adeel H Mikael, MD
- Benjamin Mikule
- Andrea Lee Miller, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.