Walhealth LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

WALHEALTH LLC

Doing business as

Villages pharmacy

Practice address

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

Phone

(352) 775-0888

NPI assigned

Feb 8, 2019

Last updated

Feb 8, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

WALHEALTH LLCAs reported in NPPES

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

Authorized official

Name

Peter B Shehata, RPHNPI 1023573763

Title

Manager

Phone

(352) 775-0888

Specialties & licenses 2

Addresses

Other names 1

• Villages pharmacy Doing business as

Part of

Walhealth LLC

Locations

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 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.

• Peter B Shehata

  • Pharmacist
  • Summerfield, FL
  • NPI 1023573763
  NPD (past) Authorized official
• Irene S Nada

  • Pharmacy
  • Summerfield, FL
  • NPI 1801377536
  NPD (past)

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1659836179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17860 SE 109TH AVE STE 616A",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918909",
            "telephone_number": "352-775-0888"
        },
        {
            "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": "352-775-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALHEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALHEALTH LLC",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "SHEHATA",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-775-0888",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villages pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Paul Bradley Waldrop, LDO
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• Mary Welti, ANP-C
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• John Wiley

• Pharmacy in Summerfield, FL
• Providers in Summerfield, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.