En-Vision Health Services LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

PH27174 Issued in FL

Legal business name

EN-VISION HEALTH SERVICES LLC

Practice address

11349 Big Bend Rd
Riverview, FL 33579-7183

Phone

(813) 672-8889

NPI assigned

Nov 6, 2013

Organization subpart

No

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

Authorized official

Name

Miss Madhumathi Pullela

Title

Owner

Phone

(813) 784-5590

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• HEALTH PRO PHARMACY Doing business as

Locations

Networks

• 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 Maximo (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)…

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1154750479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11349 BIG BEND RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797183",
            "telephone_number": "813-672-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11349 BIG BEND RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797183",
            "telephone_number": "813-672-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EN-VISION HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "PULLELA",
        "authorized_official_first_name": "MADHUMATHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-784-5590",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH27174",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH27174",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH27174",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "FL",
            "license": "PH27174",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PH27174",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTH PRO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emergency Medical Associates of Tampa Bay LLC
• Marcus Emerson
• Morufu Adekola Emiola
• Emmas Creek Alf
• Empowered Harmony Haven LLC
• Jenna Enget
• Lucero English, MS, R-MHCI
• Enhance Health Inc.
• Enlighten Behavioral Healthcare LLC
• Ivy Enting, PT

• Pharmacy in Riverview, FL
• Providers in Riverview, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.