Organization Active NPI

Pharmecon Value LLC

  • Community/Retail Pharmacy
  • Ave Maria, FL
National Provider Identifier
1851297402
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PHARMECON VALUE LLC
Practice address
5479 Ferrari Ave
Ave Maria, FL 34142-9543
Phone
(870) 846-0378
Fax
(870) 846-0378
NPI assigned
Oct 19, 2026
Last updated
Oct 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Authorized official

Name
Patrick Sullivan
Title
MGR
Phone
(870) 846-0378

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

5479 Ferrari Ave
Ave Maria, FL 34142-9543

Mailing address

1913 S Mintle St TRLR 42
Airway Heights, WA 99001-5262
Phone (870) 846-0378

NPI Registry JSON

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

{
    "created_epoch": "1792368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1851297402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 S MINTLE ST TRLR 42",
            "city": "AIRWAY HEIGHTS",
            "state": "WA",
            "postal_code": "990015262",
            "telephone_number": "870-846-0378",
            "fax_number": "870-846-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5479 FERRARI AVE",
            "city": "AVE MARIA",
            "state": "FL",
            "postal_code": "341429543",
            "telephone_number": "870-846-0378",
            "fax_number": "870-846-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMECON VALUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-19",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "870-846-0378"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ave Maria, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.