R & a Gupta LLC – Community/Retail Pharmacy

Key facts

NPI: 1831576743
Entity type: Organization (NPI type 2)
Primary specialty: Community/Retail Pharmacy 3336C0003X
License: PH27247 (FL)
Legal business name: R & A GUPTA LLC
Practice address: 25444 State Road 46
Suite #3
Sorrento, FL 32776
Phone: (352) 720-3104
Fax: (352) 729-9736
NPI assigned: Apr 29, 2015
Organization subpart: No

Authorized official

Name: Mr. Shobhit Gupta, R.PH
Title: Managing Member
Phone: (352) 720-3104

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Shobhit Gupta, R.PH Pharmacist · Sebastian,FL, FL · NPI 1851470306

NPD

Medicare participation

Medicare fee-for-service enrollment: Enrolled in FL

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20201202000263	FL	Part B Supplier - Pharmacy	1153732839	Practice locations: Sorrento, FL

National Provider Directory

Locations

25444 Sorrento Ave
Ste 3
Sorrento, FL 32776
Phone (352) 720-3104

Networks

Optimum HealthCare HMO Network
Plans: 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)
Freedom Health HMO Network
Plans: 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 Maximo (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)…

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Assisted Living Facility	310400000X	PH27247	FL
Community/Retail Pharmacy	3336C0003X	PH27247	FL	Yes
Long Term Care Pharmacy	3336L0003X

Addresses

Primary practice location

25444 State Road 46
Suite #3
Sorrento, FL 32776

Mailing address

25444 State Road 46 Ste 3
Sorrento, FL 32776-8101
Phone (352) 720-3104

Other identifiers

Identifier	Type	State	Issuer
014827700	Medicaid	FL

Other names

Health Plus Pharmacy Doing business as

Other providers in Sorrento, FL

All providers in Sorrento, FL · Community/Retail Pharmacy in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.