Organization Active NPI

Community Care Resources, Inc.

Doing business as Community Care Resources Pharmacy

  • Multi-Specialty Clinic/Center
  • Altamonte Springs, FL
National Provider Identifier
1821614702
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
COMMUNITY CARE RESOURCES, INC.
Doing business as
Community Care Resources Pharmacy
Practice address
106 Boston Ave Ste 204
Altamonte Springs, FL 32701-4712
Phone
(407) 401-7457
Fax
(754) 210-2734
NPI assigned
Jun 17, 2020
Organization subpart
Yes
Parent organization
COMMUNITY CARE RESOURCES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Victoria Barnhart
Title
Director
Phone
(877) 287-2520

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Multi-Specialty Clinic/Center 261QM1300X Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

106 Boston Ave Ste 204
Altamonte Springs, FL 32701-4712

Mailing address

15800 Pines Blvd Ste 330
Pembroke Pines, FL 33027-1212
Phone (954) 362-5432

Other practice location 1

280 Patterson Rd Ste 3
Haines City, FL 33844-6261
Phone (863) 877-4489 ext. 125

Other practice location 2

1008 W Hallandale Beach Blvd
Hallandale Beach, FL 33009-5243
Phone (754) 210-2735

Other names 1

  • Community Care Resources Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201105001091 FL Part B Supplier - Clinic/Group Practice 2062822810 Receives reassigned benefits from 2 practitioners
Practice locations: Altamonte Springs, FL; Haines City, FL; Hallandale Beach, FL; Winter Haven, FL
O20240524002333 FL Part B Supplier - Pharmacy 2062822810 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Haines City, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2172461Community Care Resources Inc106 Boston Ave Ste 204, Altamonte Springs, FL 32701Certificate of waiverApr 14, 2027
10D2179755Community Care Resources, Inc1008 W Hallandale Beach Blvd, Hallandale Beach, FL 33009Certificate of waiverMar 1, 2028

National Provider Directory

National Provider Directory
Part of
Community Care Resources Inc

Locations

280 Patterson Rd
Ste 3
Haines City, FL 33844
Phone (863) 422-2356

1008 W Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (754) 210-2735

15800 Pines Blvd
Ste 332
Pembroke Pines, FL 33027
Phone (954) 245-7609

15800 Pines Blvd
#332
Pembroke Pines, FL 33027
Phone (954) 245-7609

15800 Pines Blvd
Ste 330
Pembroke Pines, FL 33027

7492 Cypress Gardens Blvd
Winter Haven, FL 33884
Phone (863) 877-4489

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1821614702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15800 PINES BLVD STE 330",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271212",
            "telephone_number": "954-362-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 BOSTON AVE STE 204",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014712",
            "telephone_number": "407-401-7457",
            "fax_number": "754-210-2734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Patterson Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Haines City",
            "state": "FL",
            "postal_code": "338446261",
            "country_code": "US",
            "telephone_number": "863-877-4489 x125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1008 W Hallandale Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Hallandale Beach",
            "state": "FL",
            "postal_code": "330095243",
            "country_code": "US",
            "telephone_number": "754-210-2735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY CARE RESOURCES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY CARE RESOURCES, INC.",
        "enumeration_date": "2020-06-17",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "BARNHART",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "877-287-2520"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Care Resources Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.