Organization Active NPI

Can Community Health Inc.

Doing business as CAN Community Health Pharmacy of Ft Lauderdale

  • Community/Retail Pharmacy
  • Plantation, FL
National Provider Identifier
1093213662
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH31418 Issued in FL
Legal business name
CAN COMMUNITY HEALTH INC.
Doing business as
CAN Community Health Pharmacy of Ft Lauderdale
Practice address
4101 NW 3Rd CT
Unit 9
Plantation, FL 33317-2857
Phone
(844) 370-6204
Fax
(954) 607-3534
NPI assigned
Jan 29, 2018
Last updated
Jan 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Hansil Kalaria
Title
Chief Pharmacy Officer
Phone
(813) 871-5161

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH31418 FL Primary

Addresses

Primary practice location

4101 NW 3Rd CT
Unit 9
Plantation, FL 33317-2857

Mailing address

2105 N Nebraska Ave
Tampa, FL 33602-2558
Phone (813) 871-5161

Other identifiers 2

IdentifierTypeStateIssuer
102225800MedicaidFL
2175661OtherPK

Other names 1

  • CAN Community Health Pharmacy of Ft Lauderdale Doing business as

National Provider Directory

National Provider Directory

Locations

4101 S Hospital Dr
Ste 9
Plantation, FL 33317
Phone (754) 701-6911

Networks

  • HealthSun Health Plans Network
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

NPI Registry JSON

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1093213662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 N NEBRASKA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336022558",
            "telephone_number": "813-871-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 NW 3RD CT",
            "address_2": "UNIT 9",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172857",
            "telephone_number": "844-370-6204",
            "fax_number": "954-607-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAN COMMUNITY HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2024-01-30",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "KALARIA",
        "authorized_official_first_name": "HANSIL",
        "authorized_official_title_or_position": "CHIEF PHARMACY OFFICER",
        "authorized_official_telephone_number": "813-871-5161"
    },
    "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": "PH31418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102225800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175661",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAN Community Health Pharmacy of Ft Lauderdale",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CAN Community Health Pharmacy of Ft Lauderdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.