Empire Specialty Pharmacy Llc

LBN: Empire Specialty Pharmacy Llc
Empire Specialty Pharmacy Llc is an health care organization with primary practice located at 1087 Clearlake Rd Ste A , Cocoa FL 32922-6366. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Empire Specialty Pharmacy Llc can be contacted via phone (321) 549-5005, or through Cheedhella, Venkata Naga Laxmi via phone (321) 549-5005.

Contact Information

Primary practice address
1087 Clearlake Rd Ste A Cocoa FL 32922-6366
Phone: (321) 549-5005
Fax: (321) 549-6226
Website:
Map and Directions
Authorized official contact:
Name: Cheedhella, Venkata Naga Laxmi
Phone: (321) 549-5005

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH25406 Florida
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1093005753
LBN Legal business name Empire Specialty Pharmacy Llc
DBA Doing business as Empire Specialty Pharmacy Llc
Authorized official Cheedhella, Venkata Naga Laxmi
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2011
Last updated Nov 7th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093005753 NPPES
Florida MEDICAID 003807200

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