Organization · Type 2 NPI

Agios Corp

Community/Retail Pharmacy · Eustis, FL

NPI number 1811442502 Active

Practice location

1314 S Bay St
Eustis, FL 32726-5551

Fax (352) 357-2390

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	PH30203 (FL)
Compounding Pharmacy	3336C0004X	None listed
Home Infusion Therapy Pharmacy	3336H0001X	None listed
Specialty Pharmacy	3336S0011X	None listed

Community/Retail Pharmacy: 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 …

2 other providers at this address

Other community/retail pharmacy providers in Eustis

See all in Eustis →

NPI record

NPI: 1811442502
Entity type: Organization (Type 2)
Issued: Aug 23, 2016
Last updated: Mar 17, 2026
Status: Active

Other names

<unavail>
St. Mary Pharmacy Compounding and Medical Supplies · doing business as
St. Mary Pharmacy, Compounding and Medical Supply · doing business as

Authorized official

Dr. John O Mansour, PharmD
CEO
(352) 357-6699

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1811442502

Agios Corp's National Provider Identifier is 1811442502, issued on Aug 23, 2016. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Eustis, FL. The record was last updated on Mar 17, 2026.