MOUNT DORA RX PHARMACY LLC
NPI 1114625514
Pharmacy - Long Term Care Pharmacy in Eustis, FL

Active since February 16, 2023CLIA 10D2148566 · Waiver
461 PLAZA DR, EUSTIS, FL 32726(352) 729-6557 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mount Dora Rx Pharmacy Llc NPPES

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

MOUNT DORA RX PHARMACY LLC (NPI 1114625514), doing business as Mid Florida Pharmacy, is a healthcare organization registered as a long term care pharmacy in Eustis, Florida and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through May 14, 2028 and lists Harddikumar Patel, Owner, as its authorized official.

NPPES Registry Identity

NPI1114625514
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameMOUNT DORA RX PHARMACY LLC
Location Address461 PLAZA DREustis, FL 32726-6523
Mailing Address2812 W Mlk BlvdTampa, FL 33607-6306 · (813) 328-2970
Organization SubpartNo
Authorized OfficialHarddikumar PatelOwner · (813) 328-3970
Enumeration DateFebruary 16, 2023
NPPES CertifiedFebruary 10, 2023
NPI 1114625514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition

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.

461 PLAZA DR, Eustis, FL 32726

Other Names 1

Doing Business AsMid Florida Pharmacy

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 10D2148566

Mount Dora Rx Pharmacy LLC · Eustis, FL
Active · expires May 14, 2028
CLIA Number10D2148566
Laboratory TypePharmacy
Certificate Effective DateMay 15, 2026
Certificate Expiration DateMay 14, 2028
Laboratory DirectorPrabir Saha
Laboratory Phone(352) 729-6557
Laboratory LocationMount Dora Rx Pharmacy LLC461 Plaza Drive, 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.

Other Providers at the Same Location NPPES

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

Pharmacy (Long Term Care Pharmacy)
461 PLAZA DR
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 Mount Dora Rx Pharmacy LLC's NPI number?

The NPI number for Mount Dora Rx Pharmacy LLC is 1114625514. It was assigned to this organization in the NPPES registry on February 16, 2023. The provider is doing business as Mid Florida Pharmacy.

Where is Mount Dora Rx Pharmacy LLC located?

Mount Dora Rx Pharmacy LLC is located at 461 Plaza Dr, Eustis, FL 32726. The listed phone number is (352) 729-6557.

What is Mount Dora Rx Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Mount Dora Rx Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2148566) is associated with this NPI, valid through May 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mount Dora Rx Pharmacy LLC was last updated on February 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.