Organization Active NPI

MPS RX Florida LLC

Doing business as Millennium Pharmacy

  • Long Term Care Pharmacy
  • Orlando, FL
National Provider Identifier
1922237734
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PH24137 Issued in FL
Legal business name
MPS RX FLORIDA LLC
Doing business as
Millennium Pharmacy
Practice address
6509 Hazeltine National Dr Ste 4
Orlando, FL 32822-5203
Phone
(724) 940-2490
Fax
(877) 295-7772
NPI assigned
Jul 14, 2009
Organization subpart
Yes
Parent organization
PHARMERICA HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Authorized official

Name
Thomas A Caneris
Title
Vice President
Phone
(502) 627-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X PH24137 FL Primary

Addresses

Primary practice location

6509 Hazeltine National Dr Ste 4
Orlando, FL 32822-5203

Mailing address

100 E Kensinger Dr
Suite 500
Cranberry Township, PA 16066-3556
Phone (724) 940-2490

Other identifiers 1

IdentifierTypeStateIssuer
2121045OtherPK

Other names 1

  • Millennium Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

6509 Hazeltine National Dr
Ste 4
Orlando, FL 32822
Phone (724) 940-2490

100 E Kensinger Dr
Ste 500
Cranberry Township, PA 16066

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1922237734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E KENSINGER DR",
            "address_2": "SUITE 500",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160663556",
            "telephone_number": "724-940-2490",
            "fax_number": "877-295-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6509 HAZELTINE NATIONAL DR STE 4",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328225203",
            "telephone_number": "724-940-2490",
            "fax_number": "877-295-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPS RX FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHARMERICA HOLDINGS, INC.",
        "enumeration_date": "2009-07-14",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "CANERIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "502-627-7100"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH24137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2121045",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millennium Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.