MEDICARE: USA PHARMACEUTICALS ENTERPRISE 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	:	1568394393
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	USA PHARMACEUTICALS ENTERPRISE LLC

Provider Business Mailing Address
First Line	:	3611 1ST ST E STE 920
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34208-4432
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3611 1ST ST E STE 920
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34208-4432
Country	:	US
Telephone Number	:	941-877-8753
Fax Number	:

Authorized Official
Title or Position	:	PHARMACY MANAGER
Name	:	BISHOY ANIS
Credential	:
Telephone Number	:	941-877-8753

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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