Provider Type Icon

JAI GURU MAHARAJ INC NPI 1689865487


NPI Information

NPI: 1689865487
Provider Name: JAI GURU MAHARAJ INC

Doing Business As: FREEDOM PHARMACY

Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
10700 JOHNSON BLVD
STE 1
SEMINOLE, FL
ZIP 33772
Phone: (727) 397-5020
Get Directions

JAI GURU MAHARAJ INC is a compounding pharmacy pharmacy in Seminole, FL. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. JAI GURU MAHARAJ INC NPI is 1689865487. The provider is registered as an organization entity type.
The provider Is Doing Business As Freedom Pharmacy.

The provider's business location address is:

10700 JOHNSON BLVD
STE 1
SEMINOLE, FL
ZIP 33772-821
Phone: (727) 397-5020
Fax: (727) 397-9381

The provider's authorized official is Philip Burdsal .
The authorized official title is President and has the following contact phone number (813) 368-3277.

The enumeration date for this NPI number is 8/6/2007 and was last updated on 9/13/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336H0001XPharmacyHome Infusion Therapy PharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336C0004XPharmacyCompounding PharmacyPH22533FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11027956OTHEROTHER ID NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.