Individual provider Active NPI

Carmen Janiselle Hernandez Zengotita, PHARMD

  • Pharmacist
  • Kissimmee, FL
National Provider Identifier
1477170249
Registry record updated Nov 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS65267 Issued in FL
Practice address
200 Park Place Blvd Ste 100
Kissimmee, FL 34741-2344
Phone
(407) 344-9700
Fax
(407) 348-7100
NPI assigned
Jun 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS65267 FL Primary
Psychiatric Pharmacist 1835P1300X PS65267 FL

Addresses

Primary practice location

200 Park Place Blvd Ste 100
Kissimmee, FL 34741-2344

Mailing address

4814 Ashurst St
Kissimmee, FL 34758-2884
Phone (407) 433-2224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS65267FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Genoa Healthcare LLC CurrentSince Dec 16, 2020 Accepting new patients
Genoa Healthcare LLC PastSince Jul 5, 2020 Accepting new patients

Locations

200 Park Place Blvd
Ste 100
Kissimmee, FL 34741
Phone (407) 344-9700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761955200000",
    "number": "1477170249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4814 ASHURST ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347582884",
            "telephone_number": "407-433-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PARK PLACE BLVD STE 100",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412344",
            "telephone_number": "407-344-9700",
            "fax_number": "407-348-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ ZENGOTITA",
        "first_name": "CARMEN",
        "middle_name": "JANISELLE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-28",
        "last_updated": "2025-11-01",
        "certification_date": "2025-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS65267",
            "primary": true
        },
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "FL",
            "license": "PS65267",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.