MEDICARE: MAI PHARMACY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	PH22311	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1022639	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1952483745
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAI PHARMACY LLC

Provider Business Mailing Address
First Line	:	1821 E COLONIAL DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-4805
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1821 E COLONIAL DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-4805
Country	:	US
Telephone Number	:	407-898-2055
Fax Number	:	407-898-6918

Authorized Official
Title or Position	:	PHARMACY MANAGER
Name	:	DUC PHAN
Credential	:
Telephone Number	:	407-898-2055

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1235102260 — DR. NEYSA L BARTLETT D.O.
Practice Location Address:

3718-3722 AVALON PARK EAST BOULEVARD
ORLANDO, FL
32828-4805

Practice Phone: 407-518-1074
Practice Fax: 407-518-9056

1144698713 — SPA LONGEVITA ACUPUNCTURE & HERBAL MEDICINE
Practice Location Address:

3730 AVALON PARK BLVD E # 8
ORLANDO, FL
32828-4805

Practice Phone: 407-440-3990
Practice Fax:

1578044160 — CAROLE ARTILES FERRO
Practice Location Address:

1969 BONNEVILLE DR
ORLANDO, FL
32826-4805

Practice Phone: 321-666-3238
Practice Fax:

1215507314 — FLORIDA WOMAN CARE, LLC
Practice Location Address:

3722 AVALON PARK EAST BLVD
ORLANDO, FL
32828-4805

Practice Phone: 407-453-2072
Practice Fax: 407-601-1053

1578019592 — ALEXIS B SIMON M.A., BCBA
Practice Location Address:

3210 CORRINE DR
ORLANDO, FL
32803-2230

Practice Phone: 855-295-3276
Practice Fax: 888-588-2752

1134732563 — NATALIE EVE POWERS
Practice Location Address:

3210 CORRINE DR
ORLANDO, FL
32803-2230

Practice Phone: 855-295-3276
Practice Fax: 888-588-2752

Directions to “MAI PHARMACY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.