Active NPI
Mai Pharmacy LLC
- Community/Retail Pharmacy
- Orlando, FL
National Provider Identifier
1952483745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH22311
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1022639 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
National Provider Directory
National Provider DirectoryLocations
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.