Active NPI
Rissan Inc
Doing business as Safescript Pharmacy
- Community/Retail Pharmacy
- Bushnell, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH26400
- Legal business name
- RISSAN INC
- Doing business as
- Safescript Pharmacy
- Practice address
- 211 N Market St
Bushnell, FL 33513-6108 - Phone
- (352) 793-8000
- Fax
- (352) 793-8007
- NPI assigned
- Oct 8, 2012
- Last updated
- Sep 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tejas Gandhi
- Title
- VP
- Phone
- (352) 793-8000
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | PH26400 | FL | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
211 N Market St
Bushnell, FL 33513-6108
Mailing address
211 N Market St
Bushnell, FL 33513-6108
Phone (352) 793-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5712131 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- SAFESCRIPT PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210914002424 | FL | Part B Supplier - Mass Immunization (Roster Biller Only) | 5092133876 | Practice locations: Bushnell, FL |
National Provider Directory
National Provider DirectoryLocations
211 N Market St
Bushnell, FL 33513
Phone (352) 348-4049
880 N Main St
Bushnell, FL 33513
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Pharmacist
- Clermont, FL
- NPI 1285967612
-
- Pharmacist
- Cooper City, FL
- NPI 1295406270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599523200000",
"number": "1710239249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 N MARKET ST",
"city": "BUSHNELL",
"state": "FL",
"postal_code": "335136108",
"telephone_number": "352-793-8000",
"fax_number": "352-793-8007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 N MARKET ST",
"city": "BUSHNELL",
"state": "FL",
"postal_code": "335136108",
"telephone_number": "352-793-8000",
"fax_number": "352-793-8007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RISSAN INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-08",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A",
"authorized_official_last_name": "GANDHI",
"authorized_official_first_name": "TEJAS",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "352-793-8000"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH26400",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "5712131",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SAFESCRIPT PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SAFESCRIPT PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bushnell, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.