Can Community Health Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH31165 Issued in FL

Legal business name

CAN COMMUNITY HEALTH INC.

Doing business as

CAN Community Health Pharmacy of Jacksonville

Practice address

4615 Philips Hwy
Suite 3
Jacksonville, FL 32207-9506

Phone

(844) 370-6204

Fax

(904) 647-3419

NPI assigned

Mar 13, 2017

Last updated

Jan 30, 2024By 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

Hansil Kalaria

Title

Chief Pharmacy Officer

Phone

(813) 871-5161

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CAN Community Health Pharmacy of Jacksonville Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Can Community Health, Inc.

  • Infectious Disease Physician
  • Sarasota, FL
  • NPI 1104829274

  6305883133

  Same PAC ID
• Can Community Health Inc.

  dba CAN Community Health Pharmacy of Arlington

  • Community/Retail Pharmacy
  • Arlington, TX
  • NPI 1154912228

  6305883133

  Same PAC ID

Locations

Practitioners 56

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Alexandra Altamirano, M.D.

  • Infectious Disease Physician
  • Miami Gardens, FL
  • NPI 1518169721
  NPD
• Lydia Katherine Breaux

  • Family Nurse Practitioner
  • Lake Worth, FL
  • NPI 1558097089
  NPD
• Tracy Burbine, LMHC

  • Mental Health Counselor
  • Orlando, FL
  • NPI 1821457193
  NPD
• Christina M. Burke, PA-C

  • Medical Physician Assistant
  • St Petersburg, FL
  • NPI 1356390785
  NPD
• Nicki Marie Casado, APRN

  • Family Nurse Practitioner
  • Palmetto, FL
  • NPI 1770399057
  NPD
• Carolyn Stephanie Coleman, ARNP

  • Family Nurse Practitioner
  • North Port, FL
  • NPI 1407283682
  NPD
• Stephanie Claire Denis, DMD

  • Dentist
  • Bradenton, FL
  • NPI 1962069211
  NPD
• James P Desmarais, APRN

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1922346816
  NPD
• Angela Michelle Duncan, APRN

  • Family Nurse Practitioner
  • Pensacola, FL
  • NPI 1194964700
  NPD
• Jau Evans, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1497269880
  NPD
• Gerard Kimble Fisher

  • Clinical Social Worker
  • Orlando, FL
  • NPI 1225510282
  NPD
• Karen A Frost, APRN

  • Family Nurse Practitioner
  • Fort Myers, FL
  • NPI 1578176590
  NPD

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1538600424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 N NEBRASKA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336022558",
            "telephone_number": "813-871-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 PHILIPS HWY",
            "address_2": "SUITE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079506",
            "telephone_number": "844-370-6204",
            "fax_number": "904-647-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAN COMMUNITY HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "KALARIA",
        "authorized_official_first_name": "HANSIL",
        "authorized_official_title_or_position": "CHIEF PHARMACY OFFICER",
        "authorized_official_telephone_number": "813-871-5161"
    },
    "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": "PH31165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102229300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2170568",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAN Community Health Pharmacy of Jacksonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vannheidi Campbell
• Virginia Jayda Campbell
• Jaclynn Campos, PA-C
• Juan Jose Campos, DO
• Marina Campos
• Can Community Health, Inc.
• Can Community Health, Inc.
• Thomas Joseph Canaan, DDS
• Juan Canabal, MD
• Cheryl Ann Canaday, PT

• Community/Retail Pharmacy in Jacksonville, FL
• Providers in Jacksonville, 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 Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.