Prime Therapeutics Pharmacy Llc is an authorized DME supplier for medicare equipments and products.
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.
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.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.