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PRIME THERAPEUTICS PHARMACY LLC
NPI 1245241884
Pharmacy - Specialty Pharmacy in Orlando, FL

Active since August 10, 2006
6870 SHADOWRIDGE DR, STE 111, ORLANDO, FL 32812(866) 554-2673(866) 364-2673 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2025, Sep 30, 2024, Sep 16, 2024 and 6 more (9 updates tracked since 2015).

About Prime Therapeutics Pharmacy Llc NPPES

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

PRIME THERAPEUTICS PHARMACY LLC (NPI 1245241884), doing business as Magellan Rx Pharmacy, is a healthcare organization registered as a specialty pharmacy in Orlando, Florida and active in the NPI registry since August 2006. The organization lists Andrew Glover, Vp & Gm Specialty Pharmacy Dist, as its authorized official.

NPPES Registry Identity

NPI1245241884
Entity TypeOrganization
Primary Taxonomy3336S0011X
Legal Business NamePRIME THERAPEUTICS PHARMACY LLC
Location Address6870 SHADOWRIDGE DR, STE 111Orlando, FL 32812-9002
Mailing Address6870 Shadowridge Dr, Suite 111Orlando, FL 32812-9002 · (866) 554-2673 · Fax (866) 364-2673
Phone(866) 554-2673
Fax(866) 364-2673
Organization SubpartNo
Authorized OfficialAndrew GloverVp & Gm Specialty Pharmacy Dist · (612) 777-4940
Enumeration DateAugust 10, 2006
Last NPPES UpdateApril 11, 20259 updates tracked since enumeration
NPPES CertifiedApril 11, 2025
✔ NPI 1245241884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Specialty PharmacySuppliers
Taxonomy Code3336S0011X
License✔ Licensed in FL · PH19541
Definition
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.
Also ListedPharmacyTaxonomy 333600000X
6870 SHADOWRIDGE DR, Orlando, FL 32812
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Other Names 1

Former Legal Business NameMagellan Rx Pharmacy

Other Identifiers 27

Medicaid031904000FL
Medicaid1245241884OH
Medicaid1245241884WI
Medicaid1245241884WA
Medicaid1245241884CT
Medicaid1528692TN
Medicaid513347297001IL
Medicaid10132338040002PA
Medicaid1245241884ID
Medicaid589259AZ
Medicaid1245241884MI
Medicaid415778800MD
Medicaid1245241884MN
Other2006243Pk
Medicaid54012687KY
Medicaid600200927MO
Medicaid1245241884VA
Medicaid7F9541SC
MedicaidATN66122CO
Medicaid1245241884ME
Medicaid1245241884VT
Medicaid200412310AOK
Medicaid100265185-00NE
Medicaid200855460AIN
Medicaid30708673NH
Medicaid538884NJ
Medicaid1612421AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Magellan Rx Pharmacy, LLC carries, from the Medicare DMEPOS supplier directory.

Magellan Rx Pharmacy, LLC

DMEPOS supplier · Orlando, FL
✔

Accepts Medicare assignment

Magellan Rx Pharmacy, LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20564891
Medicare Participant SinceJuly 11, 2007
Supplier Location6870 Shadowridge Dr Ste 111Orlando, FL 32812
Phone(866) 554-2671
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Prime Therapeutics Pharmacy LLC's NPI number?

The NPI number for Prime Therapeutics Pharmacy LLC is 1245241884. It was assigned to this organization in the NPPES registry on August 10, 2006. The provider was formerly known as Magellan RX Pharmacy.

Where is Prime Therapeutics Pharmacy LLC located?

Prime Therapeutics Pharmacy LLC is located at 6870 Shadowridge Dr Ste 111, Orlando, FL 32812. The listed phone number is (866) 554-2673.

What is Prime Therapeutics Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Specialty Pharmacy, with taxonomy code 3336S0011X.

Does Prime Therapeutics Pharmacy LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Magellan Rx Pharmacy, LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Prime Therapeutics Pharmacy 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 35 other insurers list Prime Therapeutics Pharmacy 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 Prime Therapeutics Pharmacy LLC was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.