Provider Demographics
NPI:1922557982
Name:PHARMA BUDDIES CORP
Entity Type:Organization
Organization Name:PHARMA BUDDIES CORP
Other - Org Name:ROSEMONT SPECIALTY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NAGESH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAKHAMOORI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-822-1121
Mailing Address - Street 1:1727 ORLANDO CENTRAL PKWY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-5732
Mailing Address - Country:US
Mailing Address - Phone:407-822-1121
Mailing Address - Fax:407-822-1921
Practice Address - Street 1:1727 ORLANDO CENTRAL PKWY
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-5732
Practice Address - Country:US
Practice Address - Phone:407-822-1121
Practice Address - Fax:407-822-1921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-30
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0003X
FLPH246473336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2164372OtherPK