Healthcare Provider Details

I. General information

NPI: 1275304164
Provider Name (Legal Business Name): READY MADE PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2024
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3294 GREENWALD WAY N
KISSIMMEE FL
34741-0728
US

IV. Provider business mailing address

3294 GREENWALD WAY N
KISSIMMEE FL
34741-0728
US

V. Phone/Fax

Practice location:
  • Phone: 800-891-3040
  • Fax: 888-389-3295
Mailing address:
  • Phone: 800-891-3040
  • Fax: 888-389-3295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. CATHY STEVENS
Title or Position: OWNER
Credential:
Phone: 772-475-1463