MEDICARE: PIONEER 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

General Provider Information

NPI Number	:	1033937792
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PIONEER PHARMACY LLC

Provider Business Mailing Address
First Line	:	9743 66TH ST N
Second Line	:
City	:	PINELLAS PARK
State	:	FL
Zip	:	33782-3008
Country	:	US
Telephone Number	:	727-513-0873
Fax Number	:	727-800-2001

Provider Business Practice Location Address
First Line	:	9743 66TH ST N
Second Line	:
City	:	PINELLAS PARK
State	:	FL
Zip	:	33782-3008
Country	:	US
Telephone Number	:	727-513-0873
Fax Number	:	727-800-2001

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RUSHI BHAKTA
Credential	:
Telephone Number	:	727-513-0873

Provider Enumeration Date	:	10/01/2024
Last Update Date	:	06/09/2025

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Directions to “PIONEER PHARMACY LLC ” Practice Location

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