Florida Integrated Health Services, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH22531 Issued in FL

Legal business name

FLORIDA INTEGRATED HEALTH SERVICES, LLC

Practice address

1905 W Baker St Ste B
Plant City, FL 33563-1601

Phone

(813) 719-3278

Fax

(813) 754-7540

NPI assigned

Feb 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Haidee Adeyemo, BSN RN

Title

V-President

Phone

(813) 679-0133

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1013059120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 W BAKER ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335632849",
            "telephone_number": "813-704-6857",
            "fax_number": "813-756-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W BAKER ST STE B",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335631601",
            "telephone_number": "813-719-3278",
            "fax_number": "813-754-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA INTEGRATED HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "ADEYEMO",
        "authorized_official_first_name": "HAIDEE",
        "authorized_official_title_or_position": "V-PRESIDENT",
        "authorized_official_telephone_number": "813-679-0133",
        "authorized_official_credential": "BSN RN"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH22531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2008656",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031992900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pc@fastandfriendlyrx.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1905 W Baker St Ste B",
            "city": "Plant City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335631601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community/Retail Pharmacy in Plant City, FL
• Providers in Plant City, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.