Active NPI
Colin Janis
- Pharmacist
- Brandon, FL
National Provider Identifier
1104785989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS69213
- Practice address
- 715 W Brandon Blvd
Brandon, FL 33511-4901 - Phone
- (813) 653-4109
- NPI assigned
- Jan 19, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS69213 | FL | Primary |
Addresses
Primary practice location
715 W Brandon Blvd
Brandon, FL 33511-4901
Mailing address
800 N Howard Ave Unit 210
Tampa, FL 33606-1077
Other practice location 1
110 Bullard Pkwy
Temple Terrace, FL 33617-5510
Phone (630) 432-0651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS69213 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | Past | Accepting new patients | |
| Holiday CVS LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Wesley Chapel, FL
- NPI 1770467466
-
- Pharmacy
- Brandon, FL
- NPI 1255435129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1104785989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 N HOWARD AVE UNIT 210",
"city": "TAMPA",
"state": "FL",
"postal_code": "336061077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 W BRANDON BLVD",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114901",
"telephone_number": "813-653-4109"
}
],
"practiceLocations": [
{
"address_1": "110 Bullard Pkwy",
"address_purpose": "LOCATION",
"city": "Temple Terrace",
"state": "FL",
"postal_code": "336175510",
"country_code": "US",
"telephone_number": "630-432-0651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JANIS",
"first_name": "COLIN",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-01-19",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS69213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.