Organization Active NPI

Damol Inc

  • Community/Retail Pharmacy
  • Leesburg, FL
National Provider Identifier
1962719211
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH24862 Issued in FL
Legal business name
DAMOL INC
Practice address
620 S Lake St
Suite4
Leesburg, FL 34748-6059
Phone
(352) 460-4030
Fax
(352) 460-4137
NPI assigned
Sep 8, 2010
Organization subpart
Yes
Parent organization
DAMOL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Authorized official

Name
Carl Allision
Title
Pharmacist
Phone
(352) 460-4030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH24862 FL Primary

Addresses

Primary practice location

620 S Lake St
Suite4
Leesburg, FL 34748-6059

Mailing address

620 S Lake St
Suite4
Leesburg, FL 34748-6059
Phone (352) 460-4030

Other names 1

  • ADONAI PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210519002511 FL Part B Supplier - Pharmacy 1951700137 Practice locations: Leesburg, FL

National Provider Directory

National Provider Directory
Part of
Damol Inc

Locations

620 S Lake St
Ste 4
Leesburg, FL 34748
Phone (352) 357-3129

Networks

  • 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)
  • 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)…

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1962719211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S LAKE ST",
            "address_2": "SUITE4",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486059",
            "telephone_number": "352-460-4030",
            "fax_number": "352-460-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S LAKE ST",
            "address_2": "SUITE4",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486059",
            "telephone_number": "352-460-4030",
            "fax_number": "352-460-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMOL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAMOL INC",
        "enumeration_date": "2010-09-08",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "ALLISION",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "352-460-4030"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADONAI PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.