Villa Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

PH27110 Issued in FL

Legal business name

VILLA PHARMACY LLC

Doing business as

Villa Pharmacy LLC

Practice address

105 Avenue R NW
Winter Haven, FL 33881

Phone

(813) 215-9855

NPI assigned

Oct 10, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Dwayne Jones Sr., PHARMDNPI 1548532385

Title

Owner/Manager

Phone

(813) 215-9855

Specialties & licenses 1

Addresses

Other names 1

• Villa Pharmacy LLC Doing business as

Locations

Practitioners 2

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

• Dwayne L Jones Sr.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Bartow, FL
  • NPI 1548532385
  NPD Authorized official
• Kevin Pruitt V, PH.D

  • Pharmacist
  • Winter Haven, FL
  • NPI 1336554005
  NPD (past)

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1720415599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 AVENUE R NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338812147",
            "telephone_number": "813-215-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 AVENUE R NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "33881",
            "telephone_number": "813-215-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "813-215-9855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH27110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lee Tramell Vickers
• Aleixo M Viegas, MD
• Viet Ho Inc
• Jose R Vigoreaux, M.D.
• Villa Pharmacy LLC (Villa Medical Health Solutions)
• Jorge Ramon Villarreal, M.D.
• Ryan Alexander Villarreal, MD
• Visana Home Care Services, LLC
• Vitreous & Retina Consultants, PA
• James P. Vogt, D.D.S.

• Pharmacy in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.