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21C PHARMACY
NPI 1528423670
Pharmacy in Bonita Springs, FL

Active since December 16, 2015CLIA 10D1006175 · Waiver
8991 BRIGHTON LN STE 200, BONITA SPRINGS, FL 34135(239) 333-1700(239) 333-0688 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2023, Sep 28, 2020, Jul 12, 2019 and 5 more (8 updates tracked since 2015).

About 21c Pharmacy NPPES

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

21C PHARMACY (NPI 1528423670) is a healthcare organization registered as a pharmacy in Bonita Springs, Florida and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through April 21, 2027 and lists Shaden Marzouk, President, as its authorized official.

NPPES Registry Identity

NPI1528423670
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameGENESISCARE USA OF FLORIDA LLC
Location Address8991 BRIGHTON LN STE 200Bonita Springs, FL 34135-7505
Mailing Address1419 Se 8th Ter Ste 200Cape Coral, FL 33990-3213
Phone(239) 333-1700
Fax(239) 333-0688
Organization SubpartYesParent: Genesiscare Usa Inc
Authorized OfficialShaden MarzoukPresident · (239) 931-7254
Enumeration DateDecember 16, 2015
Last NPPES UpdateAugust 9, 20238 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
✔ NPI 1528423670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in FL · PH29594
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
8991 BRIGHTON LN STE 200, Bonita Springs, FL 34135
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Other Names 2

Doing Business As21c Pharmacy
Doing Business AsGenesiscare Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.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 10D1006175

Genesiscare Usa Of Florida, LLC Dba Sunstate Medical Specialists · Bonita Springs, FL
Active · expires Apr 21, 2027
CLIA Number10D1006175
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2025
Certificate Expiration DateApril 21, 2027
Laboratory DirectorBrian Schwartz
Laboratory Phone(239) 228-4615
Laboratory LocationGenesiscare Usa Of Florida, LLC Dba Sunstate Medical Specialists8991 Brighton Lane, Bonita Springs, FL 34135
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Genesiscare Usa Of Florida LLC's NPI number?

The NPI number for Genesiscare Usa Of Florida LLC is 1528423670. It was assigned to this organization in the NPPES registry on December 16, 2015. The provider is doing business as 21C Pharmacy and GenesisCare Pharmacy.

Where is Genesiscare Usa Of Florida LLC located?

Genesiscare Usa Of Florida LLC is located at 8991 Brighton Ln Ste 200, Bonita Springs, FL 34135. The listed phone number is (239) 333-1700.

What is Genesiscare Usa Of Florida LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Genesiscare Usa Of Florida LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1006175) is associated with this NPI, valid through April 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Genesiscare Usa Of Florida LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 44 other insurers list Genesiscare Usa Of Florida 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 Genesiscare Usa Of Florida LLC was last updated on August 9, 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.