Creative Pharmacy Solutions East LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

PH30191 Issued in FL

Legal business name

CREATIVE PHARMACY SOLUTIONS EAST LLC

Doing business as

Pharmacy Innovations

Practice address

7779 Starkey Rd
Seminole, FL 33777-4346

Phone

(727) 381-9799

Fax

(716) 708-6248

NPI assigned

Jul 2, 2005

Last updated

Jul 13, 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

Richard Moon

Title

President/Owner

Phone

(716) 720-5121

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Pharmacy Innovations Doing business as

Tax ID family

Creative Pharmacy Solutions East LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Creative Pharmacy Solutions East LLC

  dba Pharmacy Innovations

  • Pharmacy
  • Highland Park, NJ
  • NPI 1588894000
  NPD tax ID
• Creative Pharmacy Solutions East LLC

  dba Pharmacy Innovations

  • Pharmacy
  • Virginia Beach, VA
  • NPI 1700894649
  NPD tax ID

Locations

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": "1120262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1972500130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 JOHNS PL",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147019210",
            "telephone_number": "716-720-5121",
            "fax_number": "716-708-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7779 STARKEY RD",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337774346",
            "telephone_number": "727-381-9799",
            "fax_number": "716-708-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE PHARMACY SOLUTIONS EAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-02",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "716-720-5121"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH30191",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102422500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159609",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacy Innovations",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pharmacy Innovations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cora Health Services Inc (CORA Physical Therapy - Seminole)
• Marlene Corrales, RN
• Stephen Coulson, M.A., CCC-A
• Steven Richard Cox, PT
• Crai Spines
• Sandra Marelis Creixell Leon
• Kaci Ann Crook, MA, LMHC, NCC
• Summer Renee Cross, APRN
• Crown Care Medical Products, Inc.
• Aileen Cruz Lezama, DMD

• Pharmacy in Seminole, FL
• Providers in Seminole, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.