Individual provider Active NPI

Heidi Fiorella Huynh, PHARMD

  • Pharmacist
  • Lake Mary, FL
National Provider Identifier
1508148503
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS42684 Issued in FL
Practice address
100 Technology Park Ste 158
Lake Mary, FL 32746-6205
Phone
(866) 842-2147
NPI assigned
Sep 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS42684 FL Primary

Addresses

Primary practice location

100 Technology Park Ste 158
Lake Mary, FL 32746-6205

Mailing address

569 Copperdale Ave
Winter Garden, FL 34787-4500
Phone (786) 859-9350

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
PS42684FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Neovance Specialty Pharmacy LLC CurrentSince Oct 5, 2021 Accepting new patients
Neovance Specialty Pharmacy LLC CurrentSince Oct 5, 2021 Accepting new patients
Walgreen Co Past Accepting new patients
Walgreen Co PastSince Mar 20, 2022 Accepting new patients

Locations

100 Technology Park
Ste 158
Lake Mary, FL 32746
Phone (407) 618-3611

Organizations & group practices 4

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": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1508148503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 COPPERDALE AVE",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874500",
            "telephone_number": "786-859-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TECHNOLOGY PARK STE 158",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466205",
            "telephone_number": "866-842-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "HEIDI",
        "middle_name": "FIORELLA",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS42684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.