Active NPI
Sun Health and Wellness, Inc
- Community/Retail Pharmacy
- Davenport, FL
National Provider Identifier
1609480375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SUN HEALTH AND WELLNESS, INC
- Practice address
- 109 Park Place Blvd
Suite a
Davenport, FL 33837 - Phone
- (863) 547-9944
- NPI assigned
- Sep 1, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bala Kode
- Title
- President
- Phone
- (863) 547-9922
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
109 Park Place Blvd
Suite a
Davenport, FL 33837
Mailing address
109 Park Place Blvd
Suite a
Davenport, FL 33837
Phone (863) 547-9944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH32889 | Other | FL | BOARD OF PHARMACY |
Other names 1
- First Choice Specialty Pharmacy
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info4@firstchoicespecialty.com | Direct | |
| Direct Messaging Address | info4@firstchoicespecialty.com | Direct | |
| Direct Messaging Address | info4@firstchoicespecialty.com | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Sun Health and Wellness Inc
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Sebring, FL
- NPI 1023709573
-
- Community/Retail Pharmacy
- Haines City, FL
- NPI 1124389689
-
- Community/Retail Pharmacy
- Haines City, FL
- NPI 1366756561
-
- Community/Retail Pharmacy
- Orlando, FL
- NPI 1407747769
-
- Specialty Pharmacy
- Davenport, FL
- NPI 1609321082
Locations
109 Park Place Blvd
Ste A
Davenport, FL 33837
Phone (863) 547-9944
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598918400000",
"number": "1609480375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 PARK PLACE BLVD",
"address_2": "SUITE A",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "33837",
"telephone_number": "863-547-9944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 PARK PLACE BLVD",
"address_2": "SUITE A",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "33837",
"telephone_number": "863-547-9944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUN HEALTH AND WELLNESS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-01",
"last_updated": "2020-09-01",
"certification_date": "2020-08-27",
"status": "A",
"authorized_official_last_name": "KODE",
"authorized_official_first_name": "BALA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "863-547-9922"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "PH32889",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info4@firstchoicespecialty.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "109 Park Place Blvd",
"address_2": "Suite A",
"city": "Davenport",
"state": "FL",
"country_code": "US",
"postal_code": "33837",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info4@firstchoicespecialty.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "109 Park Place Blvd",
"address_2": "Suite A",
"city": "Davenport",
"state": "FL",
"country_code": "US",
"postal_code": "33837",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info4@firstchoicespecialty.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "109 Park Place Blvd",
"address_2": "Suite A",
"city": "Davenport",
"state": "FL",
"country_code": "US",
"postal_code": "33837",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "First Choice Specialty Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Davenport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.