Healthcare Provider Details

I. General information

NPI: 1043140064
Provider Name (Legal Business Name): ICARE PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3094 S ORLANDO DR
SANFORD FL
32773-5318
US

IV. Provider business mailing address

3094 S ORLANDO DR
SANFORD FL
32773-5318
US

V. Phone/Fax

Practice location:
  • Phone: 407-766-5720
  • Fax:
Mailing address:
  • Phone: 407-766-5720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CAROLINE YOUSSEF
Title or Position: OWNER/PHARMACIST IN CHARGE
Credential: PHARMD
Phone: 407-766-5720