Individual provider Active NPI

David Bland Hance Jr., PHARMD

  • Compounded Sterile Preparations Pharmacist
  • Doral, FL
National Provider Identifier
1619730306
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounded Sterile Preparations PharmacistTaxonomy code 1835C0207X
License
66704 Issued in FL
Practice address
10913 NW 30TH St Ste 102
Doral, FL 33172-5029
Phone
(888) 648-1134
NPI assigned
Feb 5, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounded Sterile Preparations Pharmacist 1835C0207X 66704 FL Primary

Addresses

Primary practice location

10913 NW 30TH St Ste 102
Doral, FL 33172-5029

Mailing address

10913 NW 30TH St Ste 102
Doral, FL 33172-5029
Phone (502) 424-5032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
66704FLMDMedical license number

Practice roles

OrganizationSpecialtyStatusNew patients
Hephaestus Pharmaceuticals LLC CurrentSince Apr 21, 2024 Accepting new patients

Locations

10913 NW 30th St
Ste 102
Doral, FL 33172
Phone (888) 648-1134

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1619730306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10913 NW 30TH ST STE 102",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331725029",
            "telephone_number": "502-424-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10913 NW 30TH ST STE 102",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331725029",
            "telephone_number": "888-648-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCE",
        "first_name": "DAVID",
        "middle_name": "BLAND",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835C0207X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Compounded Sterile Preparations",
            "state": "FL",
            "license": "66704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.