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
- Last updated
- Aug 10, 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 LLC | Past | Accepting new patients | |
| Holiday CVS L.L.C. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.