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Aetna Specialty Pharmacy, LLC

Specialty Pharmacy in Orlando, FL · enumerated 2005 · authorized official Jean Carney, Sr. Pharmacy Ops Mgr.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1942203187

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Aetna Specialty Pharmacy, LLC
Practice address 503 Sunport Lane, Orlando, FL, 32809
Fax (866) 329-2779
Enumeration date May 23, 2005
Last updated in NPPES May 19, 2014

Taxonomy & classification

3336H0001X Home Infusion Therapy Pharmacy Suppliers · License PH21035 (FL) Secondary
3336S0011X Specialty Pharmacy Suppliers · License PH21035 (FL) Primary

Authorized official

Name Jean Carney
Title Sr. Pharmacy Ops Mgr

Other identifiers

Identifier Type State Issuer
582713 Medicaid HI -
6029037 Medicaid WA -
1714655 Other - AETNA HEALTHCARE
200369680A Medicaid KS -
411068400 Medicaid MD -
035123 Medicaid AZ -
3726379 Other - AETNA HEALTHCARE HMO CLMS
0720789 Medicaid IA -
7446672 Other - AETNA HEALTHCARE DIEM CLAIM
0215059 Medicaid MT -
030961300 Medicaid FL -
35123 Medicaid AZ -
3726379 Other - AETNA HEALTHCARE HMO CLAIMS
7446672 Other - AETNA HEALTHCARE DIEM CLM
807415000 Medicaid ID -
PH575FL Medicaid AK -
1016502540001 Medicaid PA -
38457750 Medicaid NM -
1942203187 Medicaid VA -
200077510A Medicaid OK -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Aetna Specialty Pharmacy, LLC?
Aetna Specialty Pharmacy, LLC is registered in NPPES as a Specialty Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-05-19.