Deltona Medical Arts Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH10785 Issued in FL

Legal business name

DELTONA MEDICAL ARTS PHARMACY INC

Practice address

921 Town Center Dr Ste 100
Orange City, FL 32763-8266

Phone

(386) 774-7933

Fax

(386) 774-7944

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Mukesh Amin, PHARMACIST

Title

President

Phone

(386) 774-7933

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• TOWN CENTER PHARMACY Doing business as

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1851438527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 TOWN CENTER DR",
            "address_2": "SUITE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638311",
            "telephone_number": "386-774-7933",
            "fax_number": "386-774-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 TOWN CENTER DR STE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638266",
            "telephone_number": "386-774-7933",
            "fax_number": "386-774-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTONA MEDICAL ARTS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "MUKESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-774-7933",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH10785",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102109502",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102109500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2008786",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOWN CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra O Dee, MD
• Gennifer Elizabeth Dekalands, PTA
• Lalaine Dela Cruz, ARNP
• Brittany L Dellechiaie, APRN
• Delmar Glen Pack PA
• Deltona Medical Center LLC
• Deltona Medical Center LLC
• Deltona Wellness & Psychiatry Clinic PLLC
• David Demetree, PA-C
• Denis J Gulliver Dcpa

• Community/Retail Pharmacy in Orange City, FL
• Providers in Orange City, 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 Sep 26, 2016; 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.