NPIMap

Organization Active NPI

Ellenton Discount Pharmacy LLC

  • Long Term Care Pharmacy
  • Parrish, FL
National Provider Identifier
1780103481
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PH29831 Issued in FL
Legal business name
ELLENTON DISCOUNT PHARMACY LLC
Practice address
8324 US Highway 301 N
Parrish, FL 34219-8653
Phone
(941) 444-2233
Fax
(941) 417-7144
NPI assigned
Sep 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Kunjal Patel
Title
Pharmacist
Phone
(941) 444-2233

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X PH29831 FL Primary

Addresses

Primary practice location

8324 US Highway 301 N
Parrish, FL 34219-8653

Mailing address

8324 US Highway 301 N
Parrish, FL 34219-8653
Phone (941) 444-2233

Other identifiers 2

IdentifierTypeStateIssuer
017320800MedicaidFL
2175537OtherPK

Other names 1

  • ELLENTON DISCOUNT PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ellenton Discount Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8324 US Highway 301 N
Parrish, FL 34219
Phone (941) 444-2233

Practitioners & affiliated clinicians

Practitioners 1

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": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1780103481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8324 US HIGHWAY 301 N",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342198653",
            "telephone_number": "941-444-2233",
            "fax_number": "941-417-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8324 US HIGHWAY 301 N",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342198653",
            "telephone_number": "941-444-2233",
            "fax_number": "941-417-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLENTON DISCOUNT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KUNJAL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "941-444-2233"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH29831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017320800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175537",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELLENTON DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parrish, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.