NPIMap

Organization Active NPI

Daylan Inc

Doing business as His Grace Pharmacy

  • Community/Retail Pharmacy
  • Altamonte Springs, FL
National Provider Identifier
1083936496
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH24483 Issued in FL
Legal business name
DAYLAN INC
Doing business as
His Grace Pharmacy
Practice address
600 E Altamonte Dr
Suite 1400
Altamonte Springs, FL 32701-4815
Phone
(407) 790-4863
Fax
(407) 790-4864
NPI assigned
Feb 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Bolaji AdisaNPI 1033706239
Title
Owner
Phone
(407) 963-1108

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH24483 FL Primary

Addresses

Primary practice location

600 E Altamonte Dr
Suite 1400
Altamonte Springs, FL 32701-4815

Mailing address

600 E Altamonte Dr
Altamonte Springs, FL 32701-4815
Phone (407) 790-4863

Other identifiers 1

IdentifierTypeStateIssuer
2123958OtherPK

Other names 1

  • His Grace Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Daylan Inc2 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

600 E Altamonte Dr
Ste 1400
Altamonte Springs, FL 32701
Phone (407) 790-4863

600 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 331-8883

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1083936496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E ALTAMONTE DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014815",
            "telephone_number": "407-790-4863",
            "fax_number": "407-790-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E ALTAMONTE DR",
            "address_2": "SUITE 1400",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014815",
            "telephone_number": "407-790-4863",
            "fax_number": "407-790-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYLAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-26",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "ADISA",
        "authorized_official_first_name": "BOLAJI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-963-1108"
    },
    "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": "PH24483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123958",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "His Grace Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.