Omnicare Pharmacy of Florida, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

OMNICARE PHARMACY OF FLORIDA, LLC

Doing business as

Omnicare of Central Florida #48229

Practice address

4150 Church St
Suite 1030
Sanford, FL 32771-6991

Phone

(407) 261-5800

NPI assigned

Jun 20, 2006

Last updated

Jun 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Colbert

Title

Sr Director, Payer Relations

Phone

(401) 770-2751

Specialties & licenses 2

Addresses

Other names 1

• Omnicare of Central Florida #48229 Doing business as

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Omnicare Pharmacy of Florida, LLC

  dba Omnicare of Jacksonville #48224

  • Long Term Care Hospital
  • Jacksonville, FL
  • NPI 1033154232

  3779799705

  Same PAC ID
• Omnicare Pharmacy of Florida, LLC

  dba Omnicare of Tampa #48231

  • Long Term Care Pharmacy
  • Tampa, FL
  • NPI 1538104732

  3779799705

  Same PAC ID
• Omnicare Pharmacy of Florida, LLC

  dba Omnicare of South Florida #48232

  • Long Term Care Pharmacy
  • Weston, FL
  • NPI 1609804376

  3779799705

  Same PAC ID

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Omnicare Pharmacy of Florida, LLC

  dba Omnicare of Jacksonville #48224

  • Long Term Care Hospital
  • Jacksonville, FL
  • NPI 1033154232

  O20231009000570

  Same enrollment
• Omnicare Pharmacy of Florida, LLC

  dba Omnicare of Tampa #48231

  • Long Term Care Pharmacy
  • Tampa, FL
  • NPI 1538104732

  O20231009000570

  Same enrollment
• Omnicare Pharmacy of Florida, LLC

  dba Omnicare of South Florida #48232

  • Long Term Care Pharmacy
  • Weston, FL
  • NPI 1609804376

  O20231009000570

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Omnicare of Central Florida 482294 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Omnicare Pharmacy of Florida, LLC

  dba Omnicare of Jacksonville #48224

  • Long Term Care Hospital
  • Jacksonville, FL
  • NPI 1033154232
  NPD tax ID
• Omnicare Pharmacy of Florida, LLC

  dba Omnicare of Tampa #48231

  • Long Term Care Pharmacy
  • Tampa, FL
  • NPI 1538104732
  NPD tax ID
• Omnicare Pharmacy of Florida, LLC

  dba Omnicare of South Florida #48232

  • Long Term Care Pharmacy
  • Weston, FL
  • NPI 1609804376
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• CVS Pharmacy Inc.

  dba CVS Pharmacy #17247

  • Pharmacy
  • North Dartmouth, MA
  • NPI 1831271071

  Member Of

  NPD member

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 Máximo (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)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1952346199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DRIVE",
            "address_2": "BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "401-765-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 CHURCH ST",
            "address_2": "SUITE 1030",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716991",
            "telephone_number": "407-261-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNICARE PHARMACY OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "SR DIRECTOR, PAYER RELATIONS",
        "authorized_official_telephone_number": "401-770-2751"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH 19005",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omnicare of Central Florida #48229",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Sanford, FL
• Providers in Sanford, FL by specialty
• Long Term Care Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.