Organization Active NPI

Adventist Health System/Sunbelt Inc

  • Community/Retail Pharmacy
  • Minneola, FL
National Provider Identifier
1104755222
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ADVENTIST HEALTH SYSTEM/SUNBELT INC
Practice address
1820 N Hancock Rd Ste 110
Minneola, FL 34715-8182
Phone
(689) 289-2660
Fax
(689) 289-2661
NPI assigned
May 15, 2026
Organization subpart
Yes
Parent organization
ADVENTIST HEALTH SYSTEMS SUNBELT INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Kelly Hartsfield
Title
Quality Compliance Coordinator
Phone
(321) 689-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1820 N Hancock Rd Ste 110
Minneola, FL 34715-8182

Mailing address

2911 Windham Dr
Eustis, FL 32726-7145
Phone (689) 289-2660

Other identifiers 1

IdentifierTypeStateIssuer
131460900MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
FL Hospital40 organizations share this tax ID, including this one
Part of
Adventist Health System-Sunbelt Inc

Other organizations with this tax ID 39

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

View all 39

Member of 1

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

Locations

1820 N Hancock Rd
Ste 110
Minneola, FL 34715
Phone (689) 289-2660

NPI Registry JSON

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

{
    "created_epoch": "1778803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1104755222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 WINDHAM DR",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327267145",
            "telephone_number": "689-289-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 N HANCOCK RD STE 110",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347158182",
            "telephone_number": "689-289-2660",
            "fax_number": "689-289-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH SYSTEM/SUNBELT INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVENTIST HEALTH SYSTEMS SUNBELT INC",
        "enumeration_date": "2026-05-15",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "HARTSFIELD",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "QUALITY COMPLIANCE COORDINATOR",
        "authorized_official_telephone_number": "321-689-6300"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131460900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.