Angels Pharmacy III LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH31025 Issued in FL

Legal business name

ANGELS PHARMACY III LLC

Doing business as

Angel's Pharmacy

Practice address

7455 S US Highway 1
Ste a
Titusville, FL 32780-8115

Phone

(551) 358-4242

Fax

(888) 855-1807

NPI assigned

Nov 16, 2017

Last updated

Jul 19, 2018By 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

Hardik Shah

Title

Owner, Ao

Phone

(352) 272-5944

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• ANGEL'S PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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.

• Parag Patel

  • Pharmacist
  • Titusville, FL
  • NPI 1326794942
  NPD

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1821501545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 S US HIGHWAY 1",
            "address_2": "STE A",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327808115",
            "telephone_number": "551-358-4242",
            "fax_number": "888-855-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 S US HIGHWAY 1",
            "address_2": "STE A",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327808115",
            "telephone_number": "551-358-4242",
            "fax_number": "888-855-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS PHARMACY III LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "HARDIK",
        "authorized_official_title_or_position": "OWNER,  AO",
        "authorized_official_telephone_number": "352-272-5944"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH31025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2173292",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANGEL'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joyce A Anderson, ARNP
• Robert L. Anderson, M. D.
• Ryan Anderson
• John M. Andrews, D.M.D.
• Anesthesia Associates of Titusvlle
• Anita D Spitz M D P a
• Anns Angels LLC
• Caroline Elizabeth Anthony, MSN, CCRN, RN
• Anxiety Therapist FL LLC
• Ara-Titusville Dialysis LLC (Titusville Dialysis and Kidney Center)

• Community/Retail Pharmacy in Titusville, FL
• Providers in Titusville, 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 Jul 19, 2018; 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.

Verify at the official NPI Registry.