MEDICARE: PHARMA BUDDIES CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	333600000X	Pharmacy
2	3336S0011X	Specialty Pharmacy
3	3336M0002X	Mail Order Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2167688	OTHER		PK

General Provider Information

NPI Number	:	1124566120
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHARMA BUDDIES CORP

Provider Business Mailing Address
First Line	:	1727 ORLANDO CENTRAL PKWY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-5732
Country	:	US
Telephone Number	:	877-592-7988
Fax Number	:	800-787-0874

Provider Business Practice Location Address
First Line	:	1727 ORLANDO CENTRAL PKWY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-5732
Country	:	US
Telephone Number	:	877-592-7988
Fax Number	:	800-787-0874

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NAGESH SHAKHAMOORI
Credential	:
Telephone Number	:	407-822-1121

Provider Enumeration Date	:	02/09/2017
Last Update Date	:	02/19/2025

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Directions to “PHARMA BUDDIES CORP ” Practice Location

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