NPIMap

Organization Active NPI

Centerwell Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Orlando, FL
National Provider Identifier
1306629340
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CENTERWELL PHARMACY, INC.
Practice address
11010 Florida Crown Dr Ste 200
Orlando, FL 32824-7017
Phone
(800) 486-2668
NPI assigned
Aug 15, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Sean Lysinger
Title
VP
Phone
(502) 580-2376

Corporate family (same tax ID) 46

Organizations that report the same tax identification number in the National Provider Directory.

View all 46

National Provider Directory

National Provider Directory
Tax ID family
Humana Pharmacy- Homestead (47 organizations share this tax ID)

Locations

11010 Florida Crown Dr
Ste 200
Orlando, FL 32824
Phone (800) 379-0092

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

NPPES NPI Registry

Primary practice location

11010 Florida Crown Dr Ste 200
Orlando, FL 32824-7017

Mailing address

11010 Florida Crown Dr Ste 200
Orlando, FL 32824-7017

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 12, 2025.

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1306629340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11010 FLORIDA CROWN DR STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328247017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11010 FLORIDA CROWN DR STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328247017",
            "telephone_number": "800-486-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERWELL PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "LYSINGER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "502-580-2376"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.