Aetna Specialty Pharmacy, Llc
Specialty Pharmacy
503 Sunport Lane, Orlando
Florida, 32809-7874
407-513-6400 866-329-2779
Aetna Specialty Pharmacy, Llc is a Specialty Pharmacy in Orlando, Florida. It is located at 503 Sunport Lane, Orlando and it's customer support contact number is 407-513-6400. The authorized person of Aetna Specialty Pharmacy, Llc is Jean R. Carney who is Sr. Pharmacy Ops Mgr of the pharmacy and his contact number is 407-513-6495. Active license number of Aetna Specialty Pharmacy, Llc is PH21035 for Specialty Pharmacy in Florida. Aetna Specialty Pharmacy, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Aetna Specialty Pharmacy, Llc is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
Pharmacy Details:
Aetna Specialty Pharmacy, Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Aetna Specialty Pharmacy, Llc |
| Type: | Specialty Pharmacy |
| Location: | 503 Sunport Lane, Orlando,
Florida, 32809-7874 |
| Phone: | 407-513-6400 |
| Fax: | 866-329-2779 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Jean R. Carney |
| Position: | Sr. Pharmacy Ops Mgr |
| Contact Number: | 407-513-6495 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1942203187 |
| NPI Enumeration Date: | 23 May, 2005 |
| NPI Last Update On: | 19 May, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Aetna Specialty Pharmacy, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Specialty Pharmacy | PH21035 | Florida | Primary | |
| Home Infusion Therapy Pharmacy | PH21035 | Florida | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 582713 | Medicaid | Hawaii | |
| 6029037 | Medicaid | Washington | |
| 1714655 | Other | | Aetna Healthcare |
| 200369680A | Medicaid | Kansas | |
| 411068400 | Medicaid | Maryland | |
| 035123 | Medicaid | Arizona | |
| 3726379 | Other | | Aetna Healthcare Hmo Clms |
| 0720789 | Medicaid | Iowa | |
| 7446672 | Other | | Aetna Healthcare Diem Claim |
| 0215059 | Medicaid | Montana | |
| 030961300 | Medicaid | Florida | |
| 35123 | Medicaid | Arizona | |
| 3726379 | Other | | Aetna Healthcare Hmo Claims |
| 7446672 | Other | | Aetna Healthcare Diem Clm |
| 807415000 | Medicaid | Idaho | |
| PH575FL | Medicaid | Alaska | |
| 1016502540001 | Medicaid | Pennsylvania | |
| 38457750 | Medicaid | New Mexico | |
| 1942203187 | Medicaid | Virginia | |
| 200077510A | Medicaid | Oklahoma | |
| 7F1035 | Medicaid | South Carolina | |
| 057738300 | Medicaid | Minnesota | |
| 100508643 | Medicaid | Nevada | |
| 200808960A | Medicaid | Indiana | |
| 432182200 | Medicaid | Maine | |
Medicare Enrollment:
Aetna Specialty Pharmacy, Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 6406890524 | O20050620000093 | Aetna Specialty Pharmacy, Llc | PART B SUPPLIER - OTHER |
| 6406890524 | O20100930097261 | Aetna Specialty Pharmacy, Llc | DME SUPPLIER - PHARMACY |
Products Available:
Aetna Specialty Pharmacy, Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Mail Order | • Blood Glucose Monitors & Supplies: Non-mail Order |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 503 Sunport Lane,
Orlando, Florida |
| Zip: | 32809-7874 |
| Phone Number: | 407-513-6400 |
| Fax Number: | 866-329-2779 |
Patients can reach Aetna Specialty Pharmacy, Llc at
503 Sunport Lane, Orlando, Florida or can
call on customer care at 407-513-6400.
Comments/ Reviews:
Read all the reviews posted for Aetna Specialty Pharmacy, Llc below. You may also share your own experience with Aetna Specialty Pharmacy, Llc. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.