Organization Active NPI

Mai Pharmacy LLC

  • Community/Retail Pharmacy
  • Orlando, FL
National Provider Identifier
1952483745
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH22311 Issued in FL
Legal business name
MAI PHARMACY LLC
Practice address
1821 E Colonial Dr
Orlando, FL 32803-4805
Phone
(407) 898-2055
Fax
(407) 898-6918
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Duc Phan
Title
Pharmacy Manager
Phone
(407) 898-2055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH22311 FL Primary

Addresses

Primary practice location

1821 E Colonial Dr
Orlando, FL 32803-4805

Mailing address

1821 E Colonial Dr
Orlando, FL 32803-4805

Other identifiers 1

IdentifierTypeStateIssuer
1022639OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory

Locations

1821 E Colonial Dr
Orlando, FL 32803
Phone (407) 898-2055

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952483745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034805",
            "telephone_number": "407-898-2055",
            "fax_number": "407-898-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAI PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "DUC",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "407-898-2055"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH22311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1022639",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.