MOUNT DORA PHARMACY
NPI 1063773679
Pharmacy - Community/Retail Pharmacy in Eustis, FL

Active since May 31, 2012CLIA 10D2233661 · Waiver
17435 US HIGHWAY 441, SUITE-102, EUSTIS, FL 32726(352) 357-1406(352) 357-1402 Get Directions Write a Review

NPPES record last updated: November 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 23, 2022, Apr 18, 2018 (2 updates tracked since 2018).

About Mount Dora Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNT DORA PHARMACY (NPI 1063773679) is a healthcare organization registered as a community/retail pharmacy in Eustis, Florida and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through August 24, 2027 and lists Jimin Patel, Owner, as its authorized official.

NPPES Registry Identity

NPI1063773679
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMANGALMURTI LLC
Location Address17435 US HIGHWAY 441, SUITE-102Eustis, FL 32726
Mailing Address17435 Us Highway 441 Ste 102Mount Dora, FL 32757-6750 · (352) 357-1406 · Fax (352) 357-1402
Fax(352) 357-1402
Organization SubpartNo
Authorized OfficialJimin PatelOwner · (352) 357-1406
Enumeration DateMay 31, 2012
Last NPPES UpdateNovember 23, 20222 updates tracked since enumeration
NPPES CertifiedNovember 23, 2022
NPI 1063773679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in FL · PH26261
Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacyTaxonomy 333600000X
17435 US HIGHWAY 441, Eustis, FL 32726

Other Names 1

Doing Business AsMount Dora Pharmacy

Other Identifiers 2

Medicaid006612500FL
Other2135382Pk

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2233661

Mangalmurti LLC Dba Mount Dora Pharmacy · Eustis, FL
Active · expires Aug 24, 2027
CLIA Number10D2233661
Laboratory TypePharmacy
Certificate Effective DateAugust 25, 2025
Certificate Expiration DateAugust 24, 2027
Laboratory DirectorJimin K. Patel
Laboratory Phone(352) 357-1406
Laboratory LocationMangalmurti LLC Dba Mount Dora Pharmacy17435 Us Highway 441 Suite 102, Eustis, FL 32726
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
42 services42 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
21 services21 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
21 services21 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
17435 US HIGHWAY 441, SUITE 107
EUSTIS, FL 32726

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mangalmurti LLC's NPI number?

The NPI number for Mangalmurti LLC is 1063773679. It was assigned to this organization in the NPPES registry on May 31, 2012. The provider is doing business as Mount Dora Pharmacy.

Where is Mangalmurti LLC located?

Mangalmurti LLC is located at 17435 Us Highway 441 Suite-102, Eustis, FL 32726. The listed phone number is (352) 357-1406.

What is Mangalmurti LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Mangalmurti LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2233661) is associated with this NPI, valid through August 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mangalmurti LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Mangalmurti LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mangalmurti LLC was last updated on November 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.