Medicap Pharmacy

LBN: Gene Windom Inc
Medicap Pharmacy is an health care organization with primary practice located at 12302 Roper Blvd Unit 106 & 107, Clermont FL 34711-8515. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Gene Windom Inc can be contacted via phone (352) 243-6340, or through Windom, Gene via phone (352) 243-6340.

Contact Information

Primary practice address
12302 Roper Blvd Unit 106 & 107 Clermont FL 34711-8515
Phone: (352) 243-6340
Fax: (352) 243-6596
Website:
Map and Directions
Authorized official contact:
Name: Windom, Gene R.PH.
Phone: (352) 243-6340

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PH22192 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X Florida

Profile Details

NPI number 1144334889
LBN Legal business name Gene Windom Inc
DBA Doing business as Medicap Pharmacy
Authorized official Windom, Gene R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2006
Last updated Mar 7th, 2023 - about last year

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 1144334889 NPPES
Florida MEDICAID 031651200
Florida Other 1020558

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