NPIMap

Organization Active NPI

Envision Pharmacy and Healthcare Services LLC

Doing business as Envision Pharmacy

  • Community/Retail Pharmacy
  • Lutz, FL
National Provider Identifier
1639666985
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH31336 Issued in FL
Legal business name
ENVISION PHARMACY AND HEALTHCARE SERVICES LLC
Doing business as
Envision Pharmacy
Practice address
18125 N US Highway 41 Ste 107
Lutz, FL 33549-4498
Phone
(813) 333-0750
Fax
(866) 780-9023
NPI assigned
Apr 21, 2018
Last updated
Apr 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Ravi Yalamanchili
Title
Owner
Phone
(813) 333-0750

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PH31336 FL Primary

Addresses

Primary practice location

18125 N US Highway 41 Ste 107
Lutz, FL 33549-4498

Mailing address

18125 N US Highway 41 Ste 107
Lutz, FL 33549-4498
Phone (813) 333-0750

Other identifiers 2

IdentifierTypeStateIssuer
2177190OtherPK
112631900MedicaidFL

Other names 1

  • Envision Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Envision Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1524268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1639666985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18125 N US HIGHWAY 41 STE 107",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335494498",
            "telephone_number": "813-333-0750",
            "fax_number": "866-780-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18125 N US HIGHWAY 41 STE 107",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335494498",
            "telephone_number": "813-333-0750",
            "fax_number": "866-780-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION PHARMACY AND HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-21",
        "last_updated": "2022-04-06",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "YALAMANCHILI",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-333-0750"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH31336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177190",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112631900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Envision Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.