Organization Active NPI

Orlando Wellness

  • Long Term Care Pharmacy
  • Orlando, FL
National Provider Identifier
1427699610
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ORLANDO WELLNESS
Practice address
2909 N Orange Ave Ste 112a
Orlando, FL 32804-4639
Phone
(407) 898-1331
NPI assigned
Sep 30, 2019
Last updated
Mar 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Authorized official

Name
Craig Sicinski, RPHNPI 1104264092
Title
Director
Phone
(407) 898-1331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

2909 N Orange Ave Ste 112a
Orlando, FL 32804-4639

Mailing address

2909 N Orange Ave Ste 112
Orlando, FL 32804-4639
Phone (407) 898-1331

National Provider Directory

National Provider Directory

Locations

2909 N Orange Ave
Ste 112A
Orlando, FL 32804
Phone (407) 898-1331

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1427699610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 N ORANGE AVE STE 112",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044639",
            "telephone_number": "407-898-1331",
            "fax_number": "407-865-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 N ORANGE AVE STE 112A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044639",
            "telephone_number": "407-898-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "SICINSKI",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-898-1331",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "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 Mar 2, 2022; 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.