Organization Active NPI

Healing Pharmacy

  • Community/Retail Pharmacy
  • Summerfield, FL
National Provider Identifier
1609202597
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH26807 Issued in FL
Legal business name
HEALING PHARMACY
Doing business as
Healing Pharmacy
Practice address
17860 SE 109TH Ave Ste 616a
Summerfield, FL 34491-8909
Phone
(352) 693-2773
Fax
(352) 693-2806
NPI assigned
Sep 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Authorized official

Name
Sobhy Nada, RPH
Title
Owner, Pic
Phone
(561) 758-6928

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH26807 FL Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

17860 SE 109TH Ave Ste 616a
Summerfield, FL 34491-8909

Mailing address

17860 SE 109TH Ave
Ste. 616a
Summerfield, FL 34491-8911
Phone (352) 693-2773

Other identifiers 1

IdentifierTypeStateIssuer
2142202OtherPK

Other names 1

  • Healing Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1609202597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17860 SE 109TH AVE",
            "address_2": "STE. 616A",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918911",
            "telephone_number": "352-693-2773",
            "fax_number": "352-693-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17860 SE 109TH AVE STE 616A",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918909",
            "telephone_number": "352-693-2773",
            "fax_number": "352-693-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "NADA",
        "authorized_official_first_name": "SOBHY",
        "authorized_official_title_or_position": "OWNER, PIC",
        "authorized_official_telephone_number": "561-758-6928",
        "authorized_official_credential": "RPH"
    },
    "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": "PH26807",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2142202",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Summerfield, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.