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BUSHNELL PHARMACY
NPI 1134413560
Pharmacy - Community/Retail Pharmacy in Bushnell, FL

Active since June 02, 2011
417 N WEST ST, BUSHNELL, FL 33513(352) 569-5800(352) 569-5802 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 8, 2023, Feb 27, 2020, Feb 28, 2017 (3 updates tracked since 2017).

About Bushnell Pharmacy NPPES

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

BUSHNELL PHARMACY (NPI 1134413560) is a healthcare organization registered as a community/retail pharmacy in Bushnell, Florida and active in the NPI registry since June 2011. The organization lists Jack Diamond, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1134413560
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameRADIANCE ENTERPRISES INC
Location Address417 N WEST STBushnell, FL 33513-6021
Mailing Address417 N West StBushnell, FL 33513-6021 · (352) 569-5800 · Fax (352) 569-5802
Phone(352) 569-5800
Fax(352) 569-5802
Organization SubpartNo
Authorized OfficialJack DiamondPharmacy Manager · (352) 569-5800
Enumeration DateJune 2, 2011
Last NPPES UpdateJune 8, 20233 updates tracked since enumeration
NPPES CertifiedJune 8, 2023
✔ NPI 1134413560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in FL · PH25415
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
417 N WEST ST, Bushnell, FL 33513
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Other Names 1

Doing Business AsBushnell Pharmacy

Other Identifiers 3

Other2130577Pk
Medicaid003766101FL
Medicaid003766100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES

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

KIMBERLY FAEH
Pharmacist
417 N WEST ST
BUSHNELL, FL 33513
Sumter County (352) 569-5800

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 Radiance Enterprises Inc's NPI number?

The NPI number for Radiance Enterprises Inc is 1134413560. It was assigned to this organization in the NPPES registry on June 2, 2011. The provider is doing business as Bushnell Pharmacy.

Where is Radiance Enterprises Inc located?

Radiance Enterprises Inc is located at 417 N West St, Bushnell, FL 33513. The listed phone number is (352) 569-5800.

What is Radiance Enterprises Inc's specialty?

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

What insurance does Radiance Enterprises Inc accept?

Health plans from Medica and Moda Health Plan, Inc. list Radiance Enterprises Inc 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 Radiance Enterprises Inc was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.