Healthdyne Pharmacy FL, LLC

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

PH23389 Issued in FL

Legal business name

HEALTHDYNE PHARMACY FL, LLC

Doing business as

HealthDyne Pharmacy
Welldynerx-FL

Practice address

500 Eagles Landing Dr
Lakeland, FL 33810-2899

Phone

(888) 479-2000

Fax

(863) 686-5682

NPI assigned

Jun 5, 2008

Last updated

Aug 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Phillip P Bisesi

Title

Senior Vice President&Secretary

Phone

(863) 583-6248

Specialties & licenses 3

Addresses

Other names 2

• HealthDyne Pharmacy Doing business as
• WELLDYNERX-FL Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Healthdyne Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Healthdyne Pharmacy FL, LLC

  dba HealthDyne Pharmacy

  • Community/Retail Pharmacy
  • Lakeland, FL
  • NPI 1265083729
  NPD tax ID
• Healthdyne Pharmacy FL, LLC

  dba HealthDyne Pharmacy

  • Pharmacy
  • Lakeland, FL
  • NPI 1295412286
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Welldyne, Inc.

  • Pharmacy
  • Centennial, CO
  • NPI 1104909639

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1093974982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 EAGLES LANDING DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338102899",
            "telephone_number": "888-479-2000",
            "fax_number": "863-686-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 EAGLES LANDING DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338102899",
            "telephone_number": "888-479-2000",
            "fax_number": "863-686-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHDYNE PHARMACY FL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2025-08-12",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "BISESI",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT&SECRETARY",
        "authorized_official_telephone_number": "863-583-6248"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "FL",
            "license": "PH23389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthDyne Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WELLDYNERX-FL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mail Order Pharmacy in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Mail Order Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.