Colonial Drugs of Kissimmee, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

COLONIAL DRUGS OF KISSIMMEE, LLC

Doing business as

Colonial Drugs

Practice address

6912 Aloma Ave
Winter Park, FL 32792-7003

Phone

(407) 344-5588

Fax

(407) 932-3168

NPI assigned

Dec 15, 2005

Last updated

Aug 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Krista Adams

Title

President

Phone

(407) 344-5588

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Colonial Drugs Doing business as

Tax ID family

Colonial Drugs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Colonial Drugs of Kissimmee, LLC

  • Community/Retail Pharmacy
  • Kissimmee, FL
  • NPI 1588893184
  NPD tax ID

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1538145222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6912 ALOMA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "32792",
            "telephone_number": "407-344-5588",
            "fax_number": "407-932-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6912 ALOMA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327927003",
            "telephone_number": "407-344-5588",
            "fax_number": "407-932-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL DRUGS OF KISSIMMEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-344-5588",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH24126",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026259500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph T. Collins, BCBA
• Sierra Collins, MA, RMHCI
• Jordan Austin Collum, CF-SLP
• Irymairy Colmenarez Paez
• Hector Juan Colon, MSW
• Colonial Drugs of Orlando, LLC
• Colonial Drugs, LLC
• Colonial Medical Practice
• Virsie Colquitt
• Combined Medical Services Group Inc (Pediatric Orthotic and Prosthetic Services)

• Community/Retail Pharmacy in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.