Organization Active NPI

Care America at Maitland, LLC

  • Community/Retail Pharmacy
  • Orlando, FL
National Provider Identifier
1689127862
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH30154 Issued in FL
Legal business name
CARE AMERICA AT MAITLAND, LLC
Practice address
7960 Forest City Rd
Ste 101
Orlando, FL 32810-2938
Phone
(407) 865-7020
Fax
(407) 865-7088
NPI assigned
Jul 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Authorized official

Name
Ms. Lisa Wilk
Title
VP Operations
Phone
(407) 865-7020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH30154 FL Primary

Addresses

Primary practice location

7960 Forest City Rd
Ste 101
Orlando, FL 32810-2938

Mailing address

253 Bellagio Cir
Sanford, FL 32771-5001
Phone (407) 865-7020

National Provider Directory

National Provider Directory

Locations

7960 Forest City Rd
Ste 101
Orlando, FL 32810
Phone (407) 865-7020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1689127862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 BELLAGIO CIR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327715001",
            "telephone_number": "407-865-7020",
            "fax_number": "407-865-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 FOREST CITY RD",
            "address_2": "STE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328102938",
            "telephone_number": "407-865-7020",
            "fax_number": "407-865-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE AMERICA AT MAITLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "WILK",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "407-865-7020",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH30154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.