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MAGELLAN RX PHARMACY LLC NPI 1558738864


NPI Information

NPI: 1558738864
Provider Name: MAGELLAN RX PHARMACY LLC

Doing Business As: MAGELLAN RX PHARMACY

Classification: Pharmacy - 3336M0002X
Entity Type: Organization

Specialization: Mail Order Pharmacy

Address:
6870 SHADOWRIDGE DR STE 111
ORLANDO, FL
ZIP 32812
Phone: (866) 554-2673
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MAGELLAN RX PHARMACY LLC is a mail order pharmacy pharmacy in Orlando, FL. The provider is a pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states. MAGELLAN RX PHARMACY LLC NPI is 1558738864. The provider is registered as an organization entity type.
The provider Is Doing Business As Magellan Rx Pharmacy.

The provider's business location address is:

6870 SHADOWRIDGE DR STE 111
ORLANDO, FL
ZIP 32812-002
Phone: (866) 554-2673
Fax: (866) 364-2673

The provider's authorized official is Kuo Wong .
The authorized official title is Vp Pharmacy Operations and has the following contact phone number (866) 554-2673.

The enumeration date for this NPI number is 8/24/2015 and was last updated on 3/14/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336M0002XPharmacyMail Order PharmacyPH19541FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11528692MEDICAIDTENNESSEE
254012687MEDICAIDKENTUCKY
37F9541MEDICAIDSOUTH CAROLINA
4ATN66122MEDICAIDCOLORADO
5031904000MEDICAIDFLORIDA
6101323804-0002MEDICAIDPENNSYLVANIA
71245241884MEDICAIDWISCONSIN
8415778800MEDICAIDMARYLAND
9600200927MEDICAIDMISSOURI
101245241884MEDICAIDOHIO
11200855460AMEDICAIDINDIANA
122153807OTHERPK
13589259MEDICAIDARIZONA
14100265185-00MEDICAIDNEBRASKA
15200412310AMEDICAIDOKLAHOMA
16513347297001MEDICAIDILLINOIS
171245241884MEDICAIDMAINE
181245241884MEDICAIDCONNECTICUT
19538884MEDICAIDNEW JERSEY
201245241884MEDICAIDIDAHO
211245241884MEDICAIDVIRGINIA
221245241884MEDICAIDMICHIGAN
231245241884MEDICAIDMINNESOTA
241245241884MEDICAIDVERMONT
251245241884MEDICAIDWASHINGTON
261612421MEDICAIDALASKA
2730708673MEDICAIDNEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.