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AETNA SPECIALTY PHARMACY, LLC
NPI 1942203187
Pharmacy - Specialty Pharmacy in Orlando, FL

Active since May 23, 2005
503 SUNPORT LANE, ORLANDO, FL 32809(407) 513-6400(866) 329-2779 Get Directions Write a Review

NPPES record last updated: May 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Aetna Specialty Pharmacy, Llc NPPES

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

AETNA SPECIALTY PHARMACY, LLC (NPI 1942203187) is a healthcare organization registered as a specialty pharmacy in Orlando, Florida and active in the NPI registry since May 2005. The organization lists Jean R. Carney, Sr. Pharmacy Ops Mgr, as its authorized official.

NPPES Registry Identity

NPI1942203187
Entity TypeOrganization
Primary Taxonomy3336S0011X
Legal Business NameAETNA SPECIALTY PHARMACY, LLC
Location Address503 SUNPORT LANEOrlando, FL 32809-7874
Mailing Address503 Sunport LaneOrlando, FL 32809-7874 · (407) 513-6400 · Fax (866) 329-2779
Phone(407) 513-6400
Fax(866) 329-2779
Organization SubpartNo
Authorized OfficialJean R. CarneySr. Pharmacy Ops Mgr · (407) 513-6495
Enumeration DateMay 23, 2005
Last NPPES UpdateMay 19, 2014
✔ NPI 1942203187 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 · PH21035
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 ListedPharmacy · Home Infusion Therapy PharmacyTaxonomy 3336H0001X · License PH21035 (FL)
503 SUNPORT LANE, Orlando, FL 32809
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Other Identifiers 30

Medicaid=========001IL
Medicare NSC5328000002
Medicaid1942203187VA
Medicaid200369680AKS
Medicaid432182200ME
Medicaid057738300MN
Medicaid035123AZ
Medicaid7F1035SC
Medicaid=========001UT
Medicaid0215059MT
Medicaid200077510AOK
Medicaid35123AZ
Medicaid807415000ID
Other3726379Aetna Healthcare Hmo Claims
Medicaid1016502540001PA
Medicaid030961300FL
MedicaidPH575FLAK
Medicare PINU4870FL
Medicaid411068400MD
Medicaid582713HI
Other1714655Aetna Healthcare
Medicaid38457750NM
Medicaid100508643NV
Medicaid0720789IA
Medicaid6029037WA
Medicare PIN5328000002
Other7446672Aetna Healthcare Diem Clm
Other3726379Aetna Healthcare Hmo Clms
Other7446672Aetna Healthcare Diem Claim
Medicaid200808960AIN

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 Aetna Specialty Pharmacy, LLC's NPI number?

The NPI number for Aetna Specialty Pharmacy, LLC is 1942203187. It was assigned to this organization in the NPPES registry on May 23, 2005.

Where is Aetna Specialty Pharmacy, LLC located?

Aetna Specialty Pharmacy, LLC is located at 503 Sunport Lane, Orlando, FL 32809. The listed phone number is (407) 513-6400.

What is Aetna Specialty Pharmacy, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Aetna Specialty Pharmacy, LLC was last updated on May 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.