Active NPI
Hector L Cruz, PHARMD.
- Pharmacist
- Kissimmee, FL
National Provider Identifier
1851673115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 34517
- Practice address
- 4675 Old Pleasant Hill Rd
Kissimmee, FL 34759-3423 - Phone
- (407) 394-1111
- Fax
- (407) 394-1470
- NPI assigned
- Sep 13, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 34517 | FL | Primary |
Addresses
Primary practice location
4675 Old Pleasant Hill Rd
Kissimmee, FL 34759-3423
Mailing address
4675 Old Pleasant Hill Rd
Kissimmee, FL 34759-3423
Phone (407) 394-1111
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 4073941111 | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34517 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medina-Meds Pharmacy, LLC | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
4675 Old Pleasant Hill Rd
Kissimmee, FL 34759
Phone (407) 394-1111
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Kissimmee, FL
- NPI 1881094712
-
- Pharmacy
- Orlando, FL
- NPI 1093977027
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655337600000",
"number": "1851673115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4675 OLD PLEASANT HILL RD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347593423",
"telephone_number": "407-394-1111",
"fax_number": "407-394-1470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4675 OLD PLEASANT HILL RD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347593423",
"telephone_number": "407-394-1111",
"fax_number": "407-394-1470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "HECTOR",
"middle_name": "L",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-13",
"last_updated": "2022-06-16",
"certification_date": "2022-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "34517",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "4073941111",
"affiliation": "N",
"endpointDescription": "telephone",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4675 Old Pleasant Hill Rd",
"city": "Kissimmee",
"state": "FL",
"country_code": "US",
"postal_code": "347593423",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.