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MANGO PHARMACY
NPI 1669785168
Pharmacy - Community/Retail Pharmacy in Mango, FL

Active since July 26, 2010CLIA 10D2159407 · Waiver
11509 DR MARTIN LUTHER KING JR BLVD, MANGO, FL 33550(813) 661-2263(813) 662-2263 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2021, Aug 25, 2020, Aug 7, 2020 and 6 more (9 updates tracked since 2016).

About Mango Pharmacy NPPES

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

MANGO PHARMACY (NPI 1669785168) is a healthcare organization registered as a community/retail pharmacy in Mango, Florida and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through December 17, 2026 and lists Alpesh Patel, Owner, as its authorized official.

NPPES Registry Identity

NPI1669785168
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMANGO PHARMACY LLC
Location Address11509 DR MARTIN LUTHER KING JR BLVDMango, FL 33550
Mailing Address11509 Dr. Martin Luther King Jr. BlvdMango, FL 33550 · (813) 661-2263 · Fax (813) 662-2263
Phone(813) 661-2263
Fax(813) 662-2263
Organization SubpartNo
Authorized OfficialAlpesh PatelOwner · (813) 661-2263
Enumeration DateJuly 26, 2010
Last NPPES UpdateJuly 9, 20219 updates tracked since enumeration
NPPES CertifiedJuly 9, 2021
✔ NPI 1669785168 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 · PH29956
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 ListedRegistered Nurse · Diabetes EducatorTaxonomy 163WD0400X
Also ListedPharmacyTaxonomy 333600000X
11509 DR MARTIN LUTHER KING JR BLVD, Mango, FL 33550
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Other Names 1

Doing Business AsMango Pharmacy

Other Identifiers 2

Medicaid017041900FL
Other2158271Pk

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..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 10D2159407

Mango Pharmacy LLC · Mango, FL
Active · expires Dec 17, 2026
CLIA Number10D2159407
Laboratory TypePharmacy
Certificate Effective DateDecember 18, 2024
Certificate Expiration DateDecember 17, 2026
Laboratory DirectorSuketu Patel
Laboratory Phone(813) 661-2263
Laboratory LocationMango Pharmacy LLC11509 E Mlk Jr Blvd, Mango, FL 33550
CLIA data matches this NPI record on: Name Phone
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 Mango Pharmacy LLC's NPI number?

The NPI number for Mango Pharmacy LLC is 1669785168. It was assigned to this organization in the NPPES registry on July 26, 2010. The provider is doing business as Mango Pharmacy.

Where is Mango Pharmacy LLC located?

Mango Pharmacy LLC is located at 11509 Dr Martin Luther King Jr Blvd, Mango, FL 33550. The listed phone number is (813) 661-2263.

What is Mango Pharmacy LLC's specialty?

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

Does Mango Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2159407) is associated with this NPI, valid through December 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mango Pharmacy LLC accept?

Health plans from Medica and Moda Health Plan, Inc. list Mango 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 Mango Pharmacy LLC was last updated on July 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.