PRIME THERAPEUTICS PHARMACY LLC
NPI 1558738864
Pharmacy - Mail Order Pharmacy in Orlando, FL
NPI Status: Active since August 24, 2015
Contact Information
6870 SHADOWRIDGE DR STE 111
ORLANDO, FL
ZIP 32812
Phone: (866) 554-2673
Fax: (866) 364-2673
- Organization
- Pharmacy
- Mail Order Pharmacy
- Accepts Insurance
About PRIME THERAPEUTICS PHARMACY LLC
This page provides the complete NPI Profile along with additional information for Prime Therapeutics Pharmacy Llc, a provider established in Orlando, Florida operating as a Pharmacy, focusing in mail order pharmacy . The healthcare provider is registered in the NPI registry with number 1558738864 assigned on August 2015. The practitioner's primary taxonomy code is 3336M0002X with license number PH19541 (FL). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's former legal business name is Magellan Rx Pharmacy. The authorized official of this NPI record is Andrew Glover (Vp & Gm Specialty Pharmacy Dist)
- NPI
- 1558738864
- Provider Legal Name
- PRIME THERAPEUTICS PHARMACY LLC
- Other Organization Name
- MAGELLAN RX PHARMACY
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 6870 SHADOWRIDGE DR STE 111 ORLANDO, FL 32812
- Location Phone
- (866) 554-2673
- Location Fax
- (866) 364-2673
- Mailing Address
- 6870 SHADOWRIDGE DR STE 111 ORLANDO, FL 32812
- Mailing Phone
- (866) 554-2673
- Mailing Fax
- (866) 364-2673
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-24-2015
- Last Update Date
- 09-16-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Mail Order Pharmacy
- Taxonomy Code
- 3336M0002X
- Type
- Suppliers
- License No.
- PH19541
- License State
- FL
- Taxonomy Description
- A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 333600000X | Suppliers | Pharmacy |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SoloCare Bronze EPO $8500 DED HSA 10004 - EPO
- SoloCare Exp Bronze EPO $9500 DED 10015 - EPO
- SoloCare Gold EPO $1500 DED 10010 - EPO
- SoloCare Silver EPO $5000 DED 10014 - EPO
- SoloCare Silver EPO $6500 DED 10013 - EPO
- SoloCare Standard Exp Bronze EPO $7500 DED 10008 - EPO
- SoloCare Standard Gold EPO $2000 DED 10006 - EPO
- SoloCare Standard Platinum EPO $0 DED 10005 - EPO
- SoloCare Standard Silver EPO $6000 DED 10007 - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1245241884 | MEDICAID (05) | VT | |
| 1245241884 | MEDICAID (05) | OH | |
| 1245241884 | MEDICAID (05) | ID | |
| 30708673 | MEDICAID (05) | NH | |
| 101323804-0002 | MEDICAID (05) | PA | |
| 200855460A | MEDICAID (05) | IN | |
| 415778800 | MEDICAID (05) | MD | |
| 589259 | MEDICAID (05) | AZ | |
| ATN66122 | MEDICAID (05) | CO | |
| 1245241884 | MEDICAID (05) | WI | |
| 1612421 | MEDICAID (05) | AK | |
| 1245241884 | MEDICAID (05) | MI | |
| 54012687 | MEDICAID (05) | KY | |
| 7F9541 | MEDICAID (05) | SC | |
| 031904000 | MEDICAID (05) | FL | |
| 1245241884 | MEDICAID (05) | ME | |
| 513347297001 | MEDICAID (05) | IL | |
| 1245241884 | MEDICAID (05) | WA | |
| 1245241884 | MEDICAID (05) | CT | |
| 1528692 | MEDICAID (05) | TN | |
| 200412310A | MEDICAID (05) | OK | |
| 2153807 | OTHER (01) | PK | |
| 538884 | MEDICAID (05) | NJ | |
| 1245241884 | MEDICAID (05) | MN | |
| 100265185-00 | MEDICAID (05) | NE | |
| 1245241884 | MEDICAID (05) | VA | |
| 600200927 | MEDICAID (05) | MO |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1558738864, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558738864, enumerated as an "organization" on August 24, 2015.
The provider is located at 6870 SHADOWRIDGE DR STE 111 ORLANDO, FL 32812 and the phone number is (866) 554-2673.
Pharmacy with taxonomy code 3336M0002X and a focus in Mail Order Pharmacy.
The provider might be accepting Accepts: Alliant Health Plans, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
