Daytona Specialty LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

DAYTONA SPECIALTY LLC

Doing business as

H&R Pharmacy of Port Orange

Practice address

780 Dunlawton Ave Ste 1
Port Orange, FL 32127-4252

Phone

(386) 241-0321

Fax

(386) 241-0322

NPI assigned

Jan 23, 2019

Last updated

Aug 5, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ramy MalakNPI 1750672085

Title

Owner

Phone

(386) 241-0321

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• H&R PHARMACY OF PORT ORANGE Doing business as

Locations

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.

• Ramy Malak

  • Pharmacist
  • Orange City, FL
  • NPI 1750672085
  NPD Authorized official

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1811451834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 FROGS LEAP CT",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321284046",
            "telephone_number": "386-334-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 DUNLAWTON AVE STE 1",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274252",
            "telephone_number": "386-241-0321",
            "fax_number": "386-241-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTONA SPECIALTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "MALAK",
        "authorized_official_first_name": "RAMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-241-0321"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PH31235",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "H&R PHARMACY OF PORT ORANGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daytona Beach Hand Clinic Inc
• Daytona Beach Hand Clinic Inc
• Daytona Beach Hand Clinic Inc
• Daytona Beach Nephrology LLC
• Daytona Plastic Surgery, P.L.
• Daytona Spine Institute
• Daytona Vision Center Inc
• Gina Marie Debernardo
• Christina Debiasio
• Caitlin Defrancesco

• Pharmacy in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.