Centerwell Pharmacy, Inc.
Organization Active NPI Community/Retail Pharmacy · Miami, FL
NPI 1508949835 · NPPES record last updated Feb 24, 2026
Key facts
- NPI
- 1508949835
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PH21907 (FL)
- Legal business name
- CENTERWELL PHARMACY, INC.
- Practice address
- 1200 SW 1St St
Miami, FL 33135-2402 - Phone
- (305) 326-6948
- Fax
- (305) 324-1252
- NPI assigned
- Oct 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Sean Lysinger
- Title
- VP
- Phone
- (502) 580-2376
Other NPIs on the same Medicare enrollment 21
Other NPIs with the same Medicare PAC ID 20
Corporate family (same tax ID) 46
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191008000279 | FL | Part B Supplier - Pharmacy | 9739233743 |
28 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: West Palm Beach, FL; Port Orange, FL; Plantation, FL; Plant City, FL; Pembroke Pines, FL; Ormond Beach, FL; Orange City, FL; North Miami Beach, FL… |
| O20200122001174 | FL | Part B Supplier - Pharmacy | 9739233743 | Practice locations: Miami, FL |
National Provider Directory
- Tax ID family
- Humana Pharmacy- Homestead
Networks
- HealthSun Health Plans Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | |||
| Community/Retail Pharmacy | 3336C0003X | PH21907 | FL | Yes |
Addresses
Primary practice location
1200 SW 1St St
Miami, FL 33135-2402
Mailing address
10749 Marks Way
Miramar, FL 33025-3976
Phone (800) 526-1489
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2014216 | Other | PK | |
| 028290100 | Medicaid | FL | |
| 026136000 | Medicaid | FL |
Other names
- PrescribeIT Rx - Little Havana
Other providers in Miami, FL
- Centers of Medical Excellence, LLC
- Centers of Medical Excellence, LLC
- Centerwell Pharmacy, Inc.
- Centerwell Pharmacy, Inc.
- Centerwell Pharmacy, Inc.
- Centerwell Pharmacy, Inc.
- Centerwell Senior Primary Care (NC) PC
- Centerwell Senior Primary Care (NC) PC
- Centerwell Senior Primary Care (TX) PA
- Centerwell Senior Primary Care Az CS PC
All providers in Miami, FL · Community/Retail Pharmacy in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.