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Active NPI 1003415019 Organization (Entity Type 2)

Adya Llc

Pharmacy - Community/Retail Pharmacy • Ocoee, FL

About Adya Llc NPI 1003415019 Summary

Adya Llc is a verified healthcare organization specializing in Pharmacy - Community/Retail Pharmacy operating in Ocoee, FL. Located at 1572 CITRUS MEDICAL CT, this facility provides patient care and medical services under National Provider Identifier (NPI) 1003415019.

Administrative operations and authorized compliance are overseen by Shasanka Thumu (Managing Member).

The facility is associated with 9 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1572 Citrus Medical Ct

Ocoee, FL 347614547

Telephone 4073375250
Fax 4073375251

Authorized Official Information

Authorized Contact Name

Shasanka Thumu

Title / Role

Managing Member

Official Telephone

4073375250

Facility Classifications & Specialties

Pharmacy - Community/Retail Pharmacy Primary Taxonomy

NUCC Taxonomy Code: 3336C0003X

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.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

9 Linked
Brooke Wacker , APRN NPI 1033771563

Nurse Practitioner - Psychiatric/Mental Health

Ocoee, FL

View Practitioner Profile →

Social Worker - Clinical

Ocoee, FL

View Practitioner Profile →

Nurse Practitioner - Psychiatric/Mental Health

Ocoee, FL

View Practitioner Profile →
Brenda Hodges , LPCA NPI 1376087494

Counselor - Mental Health

Ocoee, FL

View Practitioner Profile →
Dr. Harsh Patel , MD NPI 1467039313

Psychiatry & Neurology - Psychiatry

Ocoee, FL

View Practitioner Profile →
Jasodra Suba NPI 1659730877

Counselor - Mental Health

Ocoee, FL

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

8 Historical Events
📍
Updated Practice Location August 04, 2023

Registered at 1572 CITRUS MEDICAL CT, OCOEE, FL 347614547 (Tel: 4073375250)

📍
Updated Business Mailing Address May 19, 2021

Registered at 1572 CITRUS MEDICAL CT, OCOEE, FL 347614547 (Tel: 4073375250)

NPI Profile Active October 21, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 21, 2020

Registered at 1540 CITRUS MEDICAL CT, OCOEE, FL 347614547 (Tel: 4073375250)

📍
Updated Business Mailing Address October 21, 2020

Registered at 1540 CITRUS MEDICAL CT, OCOEE, FL 347614547 (Tel: 4073375250)

🏛️
Organization / Clinic Name Updated October 21, 2020

Operating as ADYA LLC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2020

Pharmacy

🟢
Initial NPI Registration & Enumeration October 21, 2020

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

0 Reviews
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NPI Organization Metadata

NPI Number: 1003415019
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: October 21, 2020
Last Update: August 04, 2023

Mailing Address

1572 Citrus Medical Ct

Ocoee, FL 347614547

Phone: 4073375250

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.