Organization Active NPI

Hanai Inc

  • Community/Retail Pharmacy
  • Wauchula, FL
National Provider Identifier
1689717548
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH0016462 Issued in FL
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

Updated by the provider on Nov 14, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1086481OtherOTHER ID NUMBER
021543100MedicaidFL

Other names 1

  • HEARTLAND PHARMACY III Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

Verify at the official NPI Registry.