Prime Therapeutics Pharmacy Llc
Specialty Pharmacy
6870 Shadowridge Dr, Ste 111, Orlando
Florida, 32812-9002
866-554-2673 866-364-2673
Prime Therapeutics Pharmacy Llc is a Specialty Pharmacy in Orlando, Florida. It is located at 6870 Shadowridge Dr, Ste 111, Orlando and it's customer support contact number is 866-554-2673. The authorized person of Prime Therapeutics Pharmacy Llc is Andrew Glover who is Vp & Gm Specialty Pharmacy Dist of the pharmacy and his contact number is 612-777-4940. Active license number of Prime Therapeutics Pharmacy Llc is PH19541 for Specialty Pharmacy in Florida. Prime Therapeutics Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Prime Therapeutics 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:
Prime Therapeutics 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: | Prime Therapeutics Pharmacy Llc |
| Type: | Specialty Pharmacy |
| Location: | 6870 Shadowridge Dr, Ste 111, Orlando,
Florida, 32812-9002 |
| Phone: | 866-554-2673 |
| Fax: | 866-364-2673 |
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: | Andrew Glover |
| Position: | Vp & Gm Specialty Pharmacy Dist |
| Contact Number: | 612-777-4940 |
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: | 1245241884 |
| NPI Enumeration Date: | 10 Aug, 2006 |
| NPI Last Update On: | 11 Apr, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Prime Therapeutics Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Specialty Pharmacy | PH19541 | Florida | Primary | |
| Pharmacy | | | 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 |
| 031904000 | Medicaid | Florida | |
| 1245241884 | Medicaid | Ohio | |
| 1245241884 | Medicaid | Wisconsin | |
| 1245241884 | Medicaid | Washington | |
| 1245241884 | Medicaid | Connecticut | |
| 1528692 | Medicaid | Tennessee | |
| 513347297001 | Medicaid | Illinois | |
| 10132338040002 | Medicaid | Pennsylvania | |
| 1245241884 | Medicaid | Idaho | |
| 589259 | Medicaid | Arizona | |
| 1245241884 | Medicaid | Michigan | |
| 415778800 | Medicaid | Maryland | |
| 1245241884 | Medicaid | Minnesota | |
| 2006243 | Other | | Pk |
| 54012687 | Medicaid | Kentucky | |
| 600200927 | Medicaid | Missouri | |
| 1245241884 | Medicaid | Virginia | |
| 7F9541 | Medicaid | South Carolina | |
| ATN66122 | Medicaid | Colorado | |
| 1245241884 | Medicaid | Maine | |
| 1245241884 | Medicaid | Vermont | |
| 200412310A | Medicaid | Oklahoma | |
| 100265185-00 | Medicaid | Nebraska | |
| 200855460A | Medicaid | Indiana | |
| 30708673 | Medicaid | New Hampshire | |
| 538884 | Medicaid | New Jersey | |
| 1612421 | Medicaid | Alaska | |
Medicare Enrollment:
Prime Therapeutics 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 |
| 5294930640 | O20100930032304 | Magellan Rx Pharmacy Llc | DME SUPPLIER - PHARMACY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 6870 Shadowridge Dr, Suite 111
Orlando, Florida |
| Zip: | 32812-9002 |
| Phone Number: | 866-554-2673 |
| Fax Number: | 866-364-2673 |
Patients can reach Prime Therapeutics Pharmacy Llc at
6870 Shadowridge Dr, Ste 111, Orlando, Florida or can
call on customer care at 866-554-2673.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.