D.Y.L. LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

PH24899 Issued in FL

Legal business name

D.Y.L. LLC

Doing business as

South Lake Pharmacy

Practice address

38101 5TH Ave
Zephyrhills, FL 33542-4973

Phone

(813) 395-5667

Fax

(813) 715-2478

NPI assigned

Sep 22, 2010

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hector A Medrano, RPH- PHARM.D.

Title

Owner- Managing Member

Phone

(813) 395-5667

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• South Lake Pharmacy Doing business as

Tax ID family

Dyl 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.

• D.Y.L. L LC

  dba West Gore Pharmacy

  • Community/Retail Pharmacy
  • Orlando, FL
  • NPI 1215137252
  NPD tax ID
• Dyl Inc

  dba Dyl Pharmacy

  • Community/Retail Pharmacy
  • Tampa, FL
  • NPI 1588703532
  NPD tax ID

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)

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1700194800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38101 5TH AVE",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335424973",
            "telephone_number": "813-395-5667",
            "fax_number": "813-715-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38101 5TH AVE",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335424973",
            "telephone_number": "813-395-5667",
            "fax_number": "813-715-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.Y.L. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MEDRANO",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER- MANAGING MEMBER",
        "authorized_official_telephone_number": "813-395-5667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RPH- PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH24899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003197900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Lake Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda T Cuevas, LMT
• Vladimir Curkovic, MD
• Sarah L Curran, APRN
• Richard Male Cutliffe
• Edwin Czovek, PHYS ASSISTANT
• Maria D'Ettorre, OTR
• Amber Lee D'Oliveira, DPT
• Lais Da Silva Lima, MS, LDN
• Wilma Alexandra Da Souza, MD
• Sindhu Dadlani, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.