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PELICAN PHARMACY
NPI 1841887767
Pharmacy - Community/Retail Pharmacy in Bonita Springs, FL

Active since December 26, 2020CLIA 10D2227758 · Waiver
24830 S TAMIAMI TRL STE 1800, BONITA SPRINGS, FL 34134(239) 319-0744(239) 319-0856 Get Directions Write a Review

NPPES record last updated: February 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2021, Dec 26, 2020 (2 updates tracked since 2020).

About Pelican Pharmacy NPPES

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

PELICAN PHARMACY (NPI 1841887767) is a healthcare organization registered as a community/retail pharmacy in Bonita Springs, Florida and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through June 15, 2027 and lists Suresh Chaudhari, Owner, as its authorized official.

NPPES Registry Identity

NPI1841887767
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePELICAN VILLAGE PHARMACY, LLC
Location Address24830 S TAMIAMI TRL STE 1800Bonita Springs, FL 34134-7017
Mailing Address24830 S Tamiami Trl Ste 1800Bonita Springs, FL 34134-7017 · (239) 319-0744 · Fax (239) 319-0856
Phone(239) 319-0744
Fax(239) 319-0856
Organization SubpartNo
Authorized OfficialSuresh ChaudhariOwner · (239) 560-4354
Enumeration DateDecember 26, 2020
Last NPPES UpdateFebruary 5, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2021
✔ NPI 1841887767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
24830 S TAMIAMI TRL STE 1800, Bonita Springs, FL 34134
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Other Names 1

Doing Business AsPelican Pharmacy

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 ›

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 10D2227758

Pelican Pharmacy · Bonita Springs, FL
Active · expires Jun 15, 2027
CLIA Number10D2227758
Laboratory TypePharmacy
Certificate Effective DateJune 16, 2025
Certificate Expiration DateJune 15, 2027
Laboratory DirectorSuresh Chaudhari
Laboratory Phone(239) 319-0744
Laboratory LocationPelican Pharmacy24830 S Tamiami Trail Unit 1800, Bonita Springs, FL 34134
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
141 services141 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
134 services134 patients

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 Pelican Village Pharmacy, LLC's NPI number?

The NPI number for Pelican Village Pharmacy, LLC is 1841887767. It was assigned to this organization in the NPPES registry on December 26, 2020. The provider is doing business as Pelican Pharmacy.

Where is Pelican Village Pharmacy, LLC located?

Pelican Village Pharmacy, LLC is located at 24830 S Tamiami Trl Ste 1800, Bonita Springs, FL 34134. The listed phone number is (239) 319-0744.

What is Pelican Village Pharmacy, LLC's specialty?

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

Does Pelican Village Pharmacy, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2227758) is associated with this NPI, valid through June 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pelican Village 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 49 other insurers list Pelican Village 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 Pelican Village Pharmacy, LLC was last updated on February 5, 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.