MEDICARE: PHARMA BUDDIES CORP

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy
3	3336S0011X	Specialty Pharmacy	PH24647	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2164372	OTHER		PK

General Provider Information

NPI Number	:	1922557982
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	:	407-822-1121
Fax Number	:	407-822-1921

Provider Business Practice Location Address
First Line	:	1727 ORLANDO CENTRAL PKWY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-5732
Country	:	US
Telephone Number	:	407-822-1121
Fax Number	:	407-822-1921

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

Provider Enumeration Date	:	09/30/2016
Last Update Date	:	02/19/2025

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Directions to “PHARMA BUDDIES CORP ” Practice Location

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