Organization Active NPI

Dlka Holdings, LLC

  • Pharmacy
  • Longwood, FL
National Provider Identifier
1073815783
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH-24338 Issued in FL
Legal business name
DLKA HOLDINGS, LLC
Practice address
181 Sabal Palm Dr Ste 101
Longwood, FL 32779-2594
Phone
(407) 682-3211
Fax
(407) 682-1314
NPI assigned
Dec 1, 2010
Last updated
Dec 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Authorized official

Name
Robert S Miller, RPH, CPH
Title
MGRM
Phone
(407) 682-3211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH-24338 FL Primary

Addresses

Primary practice location

181 Sabal Palm Dr Ste 101
Longwood, FL 32779-2594

Mailing address

PO Box 915726
Longwood, FL 32791-5726
Phone (407) 682-3211

National Provider Directory

National Provider Directory
Tax ID family
Dlka Holdings LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

181 Sabal Palm Dr
Ste 101
Longwood, FL 32779
Phone (407) 682-3211

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1073815783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 915726",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327915726",
            "telephone_number": "407-682-3211",
            "fax_number": "407-682-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 SABAL PALM DR STE 101",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327792594",
            "telephone_number": "407-682-3211",
            "fax_number": "407-682-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLKA HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "407-682-3211",
        "authorized_official_credential": "RPH, CPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH-24338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.