Magellan Rx Pharmacy Llc, NPI 1245241884
Specialty Pharmacy in Orlando, FL, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1245241884 |
| NPI Entity Type | Organization |
| Provider Name |
Magellan Rx Pharmacy Llc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 6870 Shadowridge Dr, Ste 111, Orlando, FL, US |
| Provider Mailing Address | 6870 Shadowridge Dr, Suite 111, Orlando, FL, US, 328129002 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | RPH Kuo Wong |
| Official Position | VP PHARMACY OPERATIONS |
| Phone | 866-554-2673 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Specialty Pharmacy |
| Classification | |
| Group | |
| License No. | PH19541 |
| License State | FL |
| Description | A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 1245241884 | WI | MEDICAID | 05 |
| 1245241884 | ME | MEDICAID | 05 |
| 1245241884 | WA | MEDICAID | 05 |
| 10132338040002 | PA | MEDICAID | 05 |
| 2006243 | PK | 01 | |
| 1245241884 | OH | MEDICAID | 05 |
| 1245241884 | VA | MEDICAID | 05 |
| 1245241884 | VT | MEDICAID | 05 |
| 200855460A | IN | MEDICAID | 05 |
| 30708673 | NH | MEDICAID | 05 |
| 100265185-00 | NE | MEDICAID | 05 |
| 1245241884 | MI | MEDICAID | 05 |
| 1245241884 | MN | MEDICAID | 05 |
| 513347297001 | IL | MEDICAID | 05 |
| 538884 | NJ | MEDICAID | 05 |
| 031904000 | FL | MEDICAID | 05 |
| 1612421 | AK | MEDICAID | 05 |
| 200412310A | OK | MEDICAID | 05 |
| 589259 | AZ | MEDICAID | 05 |
| ATN66122 | CO | MEDICAID | 05 |
| 1245241884 | CT | MEDICAID | 05 |
| 1245241884 | ID | MEDICAID | 05 |
| 415778800 | MD | MEDICAID | 05 |
| 54012687 | KY | MEDICAID | 05 |
| 600200927 | MO | MEDICAID | 05 |
| 1528692 | TN | MEDICAID | 05 |
| 7F9541 | SC | MEDICAID | 05 |
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