5M Pharma LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH26522 Issued in FL

Legal business name

5M PHARMA LLC

Practice address

6056 Van Dyke Rd
Lutz, FL 33558-8000

Phone

(813) 968-9100

Fax

(813) 968-9200

NPI assigned

Oct 3, 2012

Organization subpart

No

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

Authorized official

Name

Viral Shah

Title

Owner/Pharmacist in Charge

Phone

(813) 968-9100

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Spectrum Drug Store Doing business as

Locations

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1982956702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6056 VAN DYKE RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335588000",
            "telephone_number": "813-968-9100",
            "fax_number": "813-968-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6056 VAN DYKE RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335588000",
            "telephone_number": "813-968-9100",
            "fax_number": "813-968-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5M PHARMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-03",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "VIRAL",
        "authorized_official_title_or_position": "OWNER/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "813-968-9100"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH26522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008444000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137240",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 10 To 10 Urgent Care, LLC
• 100 Chiro Barry LLC
• 100 Chiro Rosado WC PLLC
• A & M Blessed Transportation LLC
• A Certain Mindset
• A Plus Handwriting LLC
• Abel Home Health LLC
• Olufunke O. Abiose, M.D.

• Community/Retail Pharmacy in Lutz, FL
• Providers in Lutz, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.