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Organization Active NPI

Florida Health Care Plan Inc

Doing business as Florida Health Care Plan Pharmacy

  • Managed Care Organization Pharmacy
  • Palm Coast, FL
National Provider Identifier
1679607972
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Managed Care Organization PharmacyTaxonomy code 3336M0003X
License
PH23812 Issued in FL
Legal business name
FLORIDA HEALTH CARE PLAN INC
Doing business as
Florida Health Care Plan Pharmacy
Practice address
309 Palm Coast Parkkway
Palm Coast, FL 32137-3886
Phone
(386) 446-9447
Fax
(386) 446-6983
NPI assigned
Mar 16, 2007
Last updated
Apr 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Dr. Christopher J Smith
Title
Cmo
Phone
(386) 615-5008

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Managed Care Organization Pharmacy 3336M0003X PH23812 FL Primary

Addresses

Primary practice location

309 Palm Coast Parkkway
Palm Coast, FL 32137-3886

Mailing address

2450 Mason Ave
Daytona Beach, FL 32114-5110
Phone (386) 615-5008

Other identifiers 1

IdentifierTypeStateIssuer
2004154OtherPK

Other names 1

  • FLORIDA HEALTH CARE PLAN PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Florida Health Care Plan Inc20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1679607972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 MASON AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145110",
            "telephone_number": "386-615-5008",
            "fax_number": "386-676-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 PALM COAST PARKKWAY",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373886",
            "telephone_number": "386-446-9447",
            "fax_number": "386-446-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA HEALTH CARE PLAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "386-615-5008",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": "FL",
            "license": "PH23812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2004154",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLORIDA HEALTH CARE PLAN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FLORIDA HEALTH CARE PLAN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.