Yvonne Enterprises

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH26658 Issued in FL

Legal business name

YVONNE ENTERPRISES

Doing business as

Kay Pharmacy #003

Practice address

637 1St St S
Winter Haven, FL 33880-3604

Phone

(863) 268-8218

Fax

(863) 875-5628

NPI assigned

Apr 12, 2010

Organization subpart

No

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

Authorized official

Name

Colin C Conner

Title

Ceo

Phone

(844) 762-3701

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kay Pharmacy #003 Doing business as

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1598081994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803604",
            "telephone_number": "863-268-8218",
            "fax_number": "863-875-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803604",
            "telephone_number": "863-268-8218",
            "fax_number": "863-875-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YVONNE ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "COLIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "844-762-3701"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH26658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008929200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139801",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kay Pharmacy #003",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kay Pharmacy #003",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jae Yeon You, DDS
• Lewayne A Young, COTA
• Nakesha Young
• Allison Youngberg, COTA/L
• Your Favorite NP Consultant
• Elizabeth Marie Zajac, DPT
• Anailis Zapata Rodriguez
• Yovanka Zapata
• Michael S Ziebelman, M.D.
• Megan Matassini Ziemer, D.P.M

• Community/Retail Pharmacy in Winter Haven, FL
• Providers in Winter Haven, 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 Mar 25, 2021; 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.