| NPI | 1093974982 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2008-06-05 |
| Last Updated | 2025-08-12 |
| Authorized Official | Phillip Bisesi Senior Vice President&Secretary Phone: 8635836248 |
| Mailing Address | 500 Eagles Landing Dr Lakeland, FL 33810-2899 United States Phone: (888) 479-2000 | Fax: (863) 686-4710 📍 View Map |
| Primary Practice Address | 500 Eagles Landing Dr Lakeland, FL 33810-2899 United States Phone: (888) 479-2000 | Fax: (863) 686-5682 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | FL | 001055000 | — |
| MEDICAID | IA | 0205365 | — |
| MEDICAID | MD | 032852900 | — |
| MEDICAID | WI | 100080584 | — |
| MEDICAID | VT | 1017697 | — |
| MEDICAID | PA | 1024462370001 | — |
| MEDICAID | MN | 1093974982 | — |
| MEDICAID | WA | 1093974982 | — |
| MEDICAID | ID | 1093974982 | — |
| MEDICAID | OK | 20029370A | — |
| MEDICAID | KS | 200636740A | — |
| MEDICAID | IN | 200972230A | — |
| Other (non-Medicare) | — | 2011832 | PK |
| MEDICAID | MI | 20200323899433 | — |
| MEDICAID | CO | 9000170493 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | — | — |
| No | 3336C0003X – Pharmacy, Community/Retail Pharmacy | — | — |
| Yes | 3336M0002X – Pharmacy, Mail Order Pharmacy | FL | PH23389 |
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About NPI 1093974982
Healthdyne Pharmacy Fl, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1093974982. The primary specialty listed is Pharmacy, Mail Order Pharmacy. The organization is located in Lakeland, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-06-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1093974982?
NPI 1093974982 belongs to Healthdyne Pharmacy Fl, Llc, a Pharmacy, Mail Order Pharmacy in Lakeland, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1093974982 active?
The current status of NPI 1093974982 in the NPPES registry is Active. The record was last updated on 2025-08-12.
What specialty is NPI 1093974982?
NPI 1093974982 is classified under the taxonomy Pharmacy, Mail Order Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1093974982?
You can verify NPI 1093974982 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1093974982?
The primary practice address on file for NPI 1093974982 is 500 Eagles Landing Dr, Lakeland, FL 33810-2899. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1093974982 issued?
NPI 1093974982 was first issued (enumerated) on 2008-06-05. The NPPES record was last updated on 2025-08-12.
Practice Location Map
Healthdyne Pharmacy Fl, Llc is located at 500 Eagles Landing Dr, Lakeland, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Healthdyne Pharmacy Fl, Llc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1093974982. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Mail Order Pharmacy | PH23389 | FL |