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GANESHKRUPA LLC NPI 1639669989


NPI Information

NPI: 1639669989
Provider Name: GANESHKRUPA LLC

Doing Business As: SPECIALTY RX FLW

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
502 SUNPORT LN STE 550
ORLANDO, FL
ZIP 32809
Phone: (813) 548-2493
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GANESHKRUPA LLC is a long term care pharmacy pharmacy in Orlando, FL. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. GANESHKRUPA LLC NPI is 1639669989. The provider is registered as an organization entity type.
The provider Is Doing Business As Specialty Rx Flw.

The provider's business location address is:

502 SUNPORT LN STE 550
ORLANDO, FL
ZIP 32809-125
Phone: (813) 548-2493
Fax: (813) 278-8025

The provider's authorized official is Joel Zupnick .
The authorized official title is Vice President and has the following contact phone number (908) 241-6337.

The enumeration date for this NPI number is 5/12/2018 and was last updated on 7/28/2022.


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
23336C0003XPharmacyCommunity/Retail PharmacyPH31399FLORIDANo
33336L0003XPharmacyLong Term Care PharmacyYes

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
1101668600MEDICAIDFLORIDA

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

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