St.Mary Pharmacy II

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH25222 Issued in FL

Legal business name

ST.MARY PHARMACY II

Practice address

30606 US Highway 19 N
Palm Harbor, FL 34684-4414

Phone

(727) 773-9000

Fax

(727) 773-9001

NPI assigned

Feb 2, 2011

Organization subpart

No

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

Authorized official

Name

Marko ShakerNPI 1205292216

Title

Pharmacist

Phone

(727) 773-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St.Mary pharmacy II 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 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)…
• 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.

• Marko Shaker

  • Pharmacist
  • Palm Harbor, FL
  • NPI 1205292216
  NPD (past) Authorized official

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1881990265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30606 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346844414",
            "telephone_number": "727-773-9000",
            "fax_number": "727-773-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30606 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346844414",
            "telephone_number": "727-773-9000",
            "fax_number": "727-773-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.MARY PHARMACY II",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "SHAKER",
        "authorized_official_first_name": "MARKO",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "727-773-9000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5703853",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St.Mary pharmacy II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St Mark Village Inc
• St Marks Pharmacy LLC
• St Mary Florida Pediatric Care PLLC
• St Mary'S Pediatric Care PLLC
• St. Felopateer Medical Consulting LLC
• Jayme Stachura
• Abigail Stack
• Katherin Stairs, A.R.N.P
• Sable Leann Stamper, DPT
• Megan Stanley

• Community/Retail Pharmacy in Palm Harbor, FL
• Providers in Palm Harbor, 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 Mar 24, 2016; 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.