Lake Buena Vista Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LAKE BUENA VISTA PHARMACY LLC

Practice address

13401 Blue Heron Beach Dr Ste 101
Orlando, FL 32821-6375

Phone

(407) 951-4590

NPI assigned

Apr 29, 2026

Organization subpart

No

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

Authorized official

Name

Millad Kamal Labib Ayyad, RPHNPI 1134607716

Title

Pharmacy Manager

Phone

(407) 951-4590

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Millad Kamal Labib Ayyad, PHARMACIST

  • Pharmacist
  • Winter Springs, FL
  • NPI 1134607716
  NPD Authorized official

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

{
    "created_epoch": "1777420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1356288450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13401 BLUE HERON BEACH DR STE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328216375",
            "telephone_number": "407-951-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13401 BLUE HERON BEACH DR STE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328216375",
            "telephone_number": "407-951-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE BUENA VISTA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "AYYAD",
        "authorized_official_first_name": "MILLAD",
        "authorized_official_middle_name": "KAMAL LABIB",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "407-951-4590",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lake Family Practice
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• Community/Retail Pharmacy in Orlando, FL
• Providers in Orlando, 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 Apr 29, 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.

Verify at the official NPI Registry.