Active NPI
Heartland Medical Supply Inc
- Community/Retail Pharmacy
- Lake Placid, FL
National Provider Identifier
1740323658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH15581
- Legal business name
- HEARTLAND MEDICAL SUPPLY INC
- Practice address
- 204 US 27 S
Lake Placid, FL 33852-7900 - Phone
- (863) 699-6155
- Fax
- (863) 465-9656
- 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
- Robert Duncan, RPH
- Title
- Owner and President
- Phone
- (863) 385-7673
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PH15581 | FL | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X |
Addresses
Primary practice location
204 US 27 S
Lake Placid, FL 33852-7900
Mailing address
6360 US 27 N
Sebring, FL 33870-1225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083663 | Other | OTHER ID NUMBER |
Other names 1
- HEARTLAND PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Heartland Medical Supply Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Lake Placid, FL
- NPI 1457494155
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": "1191888000000",
"number": "1740323658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6360 US 27 N",
"city": "SEBRING",
"state": "FL",
"postal_code": "338701225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 US 27 S",
"city": "LAKE PLACID",
"state": "FL",
"postal_code": "338527900",
"telephone_number": "863-699-6155",
"fax_number": "863-465-9656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND MEDICAL SUPPLY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2007-10-09",
"status": "A",
"authorized_official_last_name": "DUNCAN",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OWNER AND PRESIDENT",
"authorized_official_telephone_number": "863-385-7673",
"authorized_official_credential": "RPH"
},
"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": "PH15581",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "1083663",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HEARTLAND PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lake Placid, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.