Radiance Enterprises Inc
Community/Retail Pharmacy
417 N West St, Bushnell
Florida, 33513-6021
352-569-5800 352-569-5802
Radiance Enterprises Inc is a Community/Retail Pharmacy in Bushnell, Florida. It is located at 417 N West St, Bushnell and it's customer support contact number is 352-569-5800. The authorized person of Radiance Enterprises Inc is Jack Diamond who is Pharmacy Manager of the pharmacy and his contact number is 352-569-5800. Active license number of Radiance Enterprises Inc is PH25415 for Community/Retail Pharmacy in Florida. Radiance Enterprises Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Radiance Enterprises Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Radiance Enterprises Inc 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: | Radiance Enterprises Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 417 N West St, Bushnell,
Florida, 33513-6021 |
| Phone: | 352-569-5800 |
| Fax: | 352-569-5802 |
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: | Jack Diamond |
| Position: | Pharmacy Manager |
| Contact Number: | 352-569-5800 |
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: | 1134413560 |
| NPI Enumeration Date: | 02 Jun, 2011 |
| NPI Last Update On: | 08 Jun, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Radiance Enterprises Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PH25415 | Florida | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| 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 |
| 2130577 | Other | | Pk |
| 003766101 | Medicaid | Florida | |
| 003766100 | Medicaid | Florida | |
Medicare Enrollment:
Radiance Enterprises Inc 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 |
| 8022263631 | O20130306000088 | Radiance Enterprises Inc | 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: | 417 N West St,
Bushnell, Florida |
| Zip: | 33513-6021 |
| Phone Number: | 352-569-5800 |
| Fax Number: | 352-569-5802 |
Patients can reach Radiance Enterprises Inc at
417 N West St, Bushnell, Florida or can
call on customer care at 352-569-5800.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.