Healthcare Provider Details

I. General information

NPI: 1124810908
Provider Name (Legal Business Name): WESTMINSTER SENIOR CARE PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13880 SHELL POINT PLZ STE 130
FORT MYERS FL
33908-3504
US

IV. Provider business mailing address

7703 KINGSPOINTE PKWY STE 500
ORLANDO FL
32819-8583
US

V. Phone/Fax

Practice location:
  • Phone: 407-244-9280
  • Fax: 407-999-9494
Mailing address:
  • Phone: 407-244-9280
  • Fax: 407-999-9494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN BASILE SHAW
Title or Position: PHARMACY CONTROLLER
Credential:
Phone: 407-244-9280