Balls Rexall Drugs Inc

Organization Active NPI Pharmacy · Casselberry, FL

NPI 1801908736 · NPPES record last updated Jan 21, 2025

Key facts

NPI
1801908736
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacy 333600000X
Legal business name
BALLS REXALL DRUGS INC
Practice address
500 S.R. 436
Suite 2074
Casselberry, FL 32707
Phone
(352) 726-1021
Fax
(352) 726-4688
NPI assigned
Aug 31, 2006
Organization subpart
No

Authorized official

Name
Mr. Kenneth L Heimann, RPH
Title
President/Pharmacist
Phone
(352) 726-1021

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20101110001356 FL Part B Supplier - Pharmacy 7618095571 Practice locations: Casselberry, FL
O20220222002737 FL Part B Supplier - Independent Clinical Laboratory 7618095571 Practice locations: Inverness, FL

National Provider Directory

Locations

500 State Road 436
Ste 2074
Casselberry, FL 32707
Phone (352) 726-1021

214 S Highway 41
Inverness, FL 34450

Networks

  • Optimum HealthCare HMO Network
    Plans: 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)
  • Freedom Health HMO Network
    Plans: 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 Maximo (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)…

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X Yes
Community/Retail Pharmacy 3336C0003X PH11930 FL
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

500 S.R. 436
Suite 2074
Casselberry, FL 32707

Mailing address

500 S.R. 436
Suite 2074
Casselberry, FL 32707
Phone (352) 726-1021

Other identifiers

IdentifierTypeStateIssuer
103431600MedicaidFL
2004479OtherPK

Other names

  • B&W Rexall Drugs Doing business as

Other providers in Casselberry, FL

All providers in Casselberry, FL · Pharmacy in Florida

Sources for this page

Verify at the official NPI Registry.