Active NPI
Damol Inc
- Community/Retail Pharmacy
- Leesburg, FL
National Provider Identifier
1962719211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH24862
- 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 INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Network
- Freedom Health HMO Network
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Lake City, FL
- NPI 1841086451
-
- Pharmacist
- Leesburg, FL
- NPI 1578136321
-
- Pharmacist
- Lake City, FL
- NPI 1417743063
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.