Healthcare Provider Details

I. General information

NPI: 1568394393
Provider Name (Legal Business Name): USA PHARMACEUTICALS ENTERPRISE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3611 1ST ST E STE 920
BRADENTON FL
34208-4432
US

IV. Provider business mailing address

3611 1ST ST E STE 920
BRADENTON FL
34208-4432
US

V. Phone/Fax

Practice location:
  • Phone: 941-877-8753
  • Fax:
Mailing address:
  • Phone: 941-444-2555
  • Fax: 941-326-2621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: BISHOY ANIS
Title or Position: PHARMACY MANAGER
Credential:
Phone: 941-444-2555