Active NPI
Fertility Pharmacy
- Pharmacist
- Winter Springs, FL
National Provider Identifier
1265699946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH23353
- Legal business name
- FERTILITY PHARMACY
- Practice address
- 120 W State Road 434
Winter Springs, FL 32708-2551 - Phone
- (407) 557-2029
- Fax
- (480) 247-5681
- NPI assigned
- May 20, 2008
- Organization subpart
- Yes
- Parent organization
- LBG HOLDINGS, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Larry B. Howard
- Title
- Manager
- Phone
- (407) 557-2029
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH23353 | FL | Primary |
Addresses
Primary practice location
120 W State Road 434
Winter Springs, FL 32708-2551
Mailing address
120 W State Road 434
Winter Springs, FL 32708-2551
Phone (407) 557-2029
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008795700 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Fertility Pharmacy
- Part of
- Fertility Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
120 W State Road 434
Winter Springs, FL 32708
Phone (407) 557-2029
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420156800000",
"number": "1265699946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W STATE ROAD 434",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327082551",
"telephone_number": "407-557-2029",
"fax_number": "480-247-5681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 W STATE ROAD 434",
"city": "WINTER SPRINGS",
"state": "FL",
"postal_code": "327082551",
"telephone_number": "407-557-2029",
"fax_number": "480-247-5681"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FERTILITY PHARMACY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LBG HOLDINGS, LLC",
"enumeration_date": "2008-05-20",
"last_updated": "2015-01-02",
"status": "A",
"authorized_official_last_name": "HOWARD",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "407-557-2029"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "FL",
"license": "PH23353",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008795700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winter Springs, FL
- Faith House of Winter Springs
- Jennifer Ellen Farrell, PH.D.
- Jean Marie Feacher-Jones, ED. D.
- Monique Ferguson
- Rodrigo S Fernandes, DDS
- Megan Kimberlee Finley, M.A. CCC-SLP
- First Choice Pediatrics, Inc (My Family Pharm)
- First Health Winter Springs, LLC
- Todd Russell Fix, MA CCC-SLP
- Stephanie P Flores, NP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.