MEDICARE: BIOPLUS SPECIALTY PHARMACY SERVICES, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	3336M0002X	Mail Order Pharmacy
2	3336S0011X	Specialty Pharmacy
3	3336C0003X	Community/Retail Pharmacy
4	333600000X	Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	60006895A	OTHER	IN	PHARMACY LICENSE

General Provider Information

NPI Number	:	1447013537
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC

Provider Business Mailing Address
First Line	:	3200 LAKE EMMA RD UNIT 1000
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-3358
Country	:	US
Telephone Number	:	888-292-0744
Fax Number	:	800-269-5493

Provider Business Practice Location Address
First Line	:	4740 VICTORY LN STE C
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46203-6076
Country	:	US
Telephone Number	:	888-292-0744
Fax Number	:	800-269-5493

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	NICHOLAS MAROULIS
Credential	:	PHARMD
Telephone Number	:	689-263-5021

Provider Enumeration Date	:	02/01/2024
Last Update Date	:	06/05/2026

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