Active NPI
Hanai Inc
- Community/Retail Pharmacy
- Wauchula, FL
National Provider Identifier
1689717548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH0016462
- Legal business name
- HANAI INC
- Practice address
- 116 Heartland Way
Wauchula, FL 33873-5000 - Phone
- (863) 767-8920
- Fax
- (863) 773-3172
- NPI assigned
- Feb 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Caroline Duncan
- Title
- Owner and President
- Phone
- (863) 767-8920
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PH0016462 | FL | Primary |
Addresses
Primary practice location
116 Heartland Way
Wauchula, FL 33873-5000
Mailing address
116 Heartland Way
Wauchula, FL 33873-5000
Phone (863) 767-8920
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1086481 | Other | OTHER ID NUMBER | |
| 021543100 | Medicaid | FL |
Other names 1
- HEARTLAND PHARMACY III
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221014002580 | FL | Part B Supplier - Mass Immunization (Roster Biller Only) | 7719353879 | Practice locations: Wauchula, FL |
National Provider Directory
National Provider Directory- Tax ID family
- Hanai Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Wauchula, FL
- NPI 1326181090
-
- Long Term Care Pharmacy
- Wauchula, FL
- NPI 1780374066
Locations
116 Heartland Way
Wauchula, FL 33873
Phone (863) 767-8920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668384000000",
"number": "1689717548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 HEARTLAND WAY",
"city": "WAUCHULA",
"state": "FL",
"postal_code": "338735000",
"telephone_number": "863-767-8920",
"fax_number": "863-773-3172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 HEARTLAND WAY",
"city": "WAUCHULA",
"state": "FL",
"postal_code": "338735000",
"telephone_number": "863-767-8920",
"fax_number": "863-773-3172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANAI INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A",
"authorized_official_last_name": "DUNCAN",
"authorized_official_first_name": "CAROLINE",
"authorized_official_title_or_position": "OWNER AND PRESIDENT",
"authorized_official_telephone_number": "863-767-8920"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH0016462",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "1086481",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021543100",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HEARTLAND PHARMACY III",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "HEARTLAND PHARMACY III",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wauchula, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.