Active NPI
Health 100 LLC
- Community/Retail Pharmacy
- Lehigh Acres, FL
National Provider Identifier
1609789445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- HEALTH 100 LLC
- Practice address
- 1321 Wagner Ave
Lehigh Acres, FL 33972-8720 - Phone
- (870) 846-0378
- Fax
- (870) 846-0378
- NPI assigned
- Sep 23, 2026
- Last updated
- Oct 7, 2026
- 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
- Angel Oquendo Perez
- Title
- MGR
- Phone
- (512) 842-0359
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
1321 Wagner Ave
Lehigh Acres, FL 33972-8720
Mailing address
1913 S Mintle St TRLR 42
Airway Heights, WA 99001-5262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791331200000",
"number": "1609789445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1913 S MINTLE ST TRLR 42",
"city": "AIRWAY HEIGHTS",
"state": "WA",
"postal_code": "990015262",
"fax_number": "870-846-0378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 WAGNER AVE",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339728720",
"telephone_number": "870-846-0378",
"fax_number": "870-846-0378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH 100 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-23",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "ANGEL",
"authorized_official_middle_name": "OQUENDO",
"authorized_official_title_or_position": "MGR",
"authorized_official_telephone_number": "512-842-0359"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.