NPIMap

Organization Active NPI

Florida Integrated Health Services

  • Community/Retail Pharmacy
  • Fort Meade, FL
National Provider Identifier
1457599250
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH23835 Issued in FL
Legal business name
FLORIDA INTEGRATED HEALTH SERVICES
Practice address
13 W Broadway St
Fort Meade, FL 33841-3303
Phone
(863) 622-2087
Fax
(863) 622-2085
NPI assigned
Feb 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
Haidee Adeyemo
Title
V-President
Phone
(813) 704-6857

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH23835 FL Primary

Addresses

Primary practice location

13 W Broadway St
Fort Meade, FL 33841-3303

Mailing address

3202 W Baker St
Plant City, FL 33563-2849
Phone (813) 704-6857

Other identifiers 2

IdentifierTypeStateIssuer
2119045OtherPK
00846800MedicaidFL

Other names 1

  • Fast & Friendly Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fast Friendly Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1457599250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 W BAKER ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335632849",
            "telephone_number": "813-704-6857",
            "fax_number": "813-756-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 W BROADWAY ST",
            "city": "FORT MEADE",
            "state": "FL",
            "postal_code": "338413303",
            "telephone_number": "863-622-2087",
            "fax_number": "863-622-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA INTEGRATED HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "ADEYEMO",
        "authorized_official_first_name": "HAIDEE",
        "authorized_official_title_or_position": "V-PRESIDENT",
        "authorized_official_telephone_number": "813-704-6857"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH23835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2119045",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00846800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fast & Friendly Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Meade, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.