Fresh Nova Health LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

FRESH NOVA HEALTH LLC

Practice address

8181 NW South River Dr
Medley, FL 33166-7447

Phone

(603) 461-1092

NPI assigned

Jul 30, 2026

Organization subpart

No

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

Authorized official

Name

Maxine Rial

Title

Manager

Phone

(603) 461-1092

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1417870288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8181 NW SOUTH RIVER DR",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331667447",
            "telephone_number": "603-461-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8181 NW SOUTH RIVER DR",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331667447",
            "telephone_number": "603-461-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH NOVA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "RIAL",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "603-461-1092"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Medley, FL
• Providers in Medley, 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 Jul 30, 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.