Nova Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH25860 Issued in FL

Legal business name

NOVA PHARMACY CORP

Practice address

950 1St St S Ste 103
Winter Haven, FL 33880-3607

Phone

(305) 262-6682

Fax

(305) 264-4318

NPI assigned

Apr 17, 2012

Last updated

Sep 29, 2021By 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

Ms. Mahe Marrero, PHARMDNPI 1255635736

Title

President

Phone

(305) 262-6682

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Networks

• 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 Máximo (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)…
• 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)

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mahe Marrero, PHARM.D.

  • Pharmacist
  • Winter Haven, FL
  • NPI 1255635736
  NPD Authorized official

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

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1255698122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 1ST ST S STE 103",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803607",
            "telephone_number": "305-262-6682",
            "fax_number": "305-264-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 1ST ST S STE 103",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803607",
            "telephone_number": "305-262-6682",
            "fax_number": "305-264-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-17",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "MARRERO",
        "authorized_official_first_name": "MAHE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-262-6682",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5710226",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nhung Nong, DMD
• Yvelene Normil, APRN
• Pablo H Norona, PSYD
• North Medrx LLC
• Northland Hearing Center, Inc. (Audibel Hearing Aid Center)
• Nu-Life T&T Services
• Nurse Consulting Done Right LLC
• Nurses PRN of Florida, LLC (Caring Hands Homecare Services)
• Obinna Uchenna Nwobi, MD
• Lesley Michelle O'Bannon, OTRL

• Community/Retail Pharmacy in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.