OrganizationActive
Eagle Pharmacy LLC
NPI 1104785112 · Pharmacy · Lakeland, FL
Provider details
- NPI number
- 1104785112
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kevin Bisch, Vp Pharmacy Operations(833) 819-0923
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
330 Eagles Landing Dr Ste 250
Lakeland, FL 33810-3041
Phone: (833) 819-0923
Approximate (ZIP-level) locationGet directions
Mailing address
1 Healthcare Way
Lakewood, NJ 08701-5400
Other names (DBA / former)
- Doing business as
- Ryaltris Direct
Registry dates
- Enumerated
- 2026-01-16
- Last updated
- 2026-05-04
- Certified
- 2026-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.