Medlux LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH30168 Issued in FL

Legal business name

MEDLUX LLC

Doing business as

Pharmacy of the Highlands

Practice address

3655 Innovation Dr
Lakeland, FL 33812-4106

Phone

(863) 709-3288

NPI assigned

Jun 1, 2016

Organization subpart

No

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

Authorized official

Name

Sylinda Fulse

Title

Director of Pharmacy

Phone

(863) 709-3288

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Pharmacy of the Highlands Doing business as

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1851749774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 205",
            "city": "HIGHLAND CITY",
            "state": "FL",
            "postal_code": "338460205",
            "telephone_number": "863-709-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 INNOVATION DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338124106",
            "telephone_number": "863-709-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLUX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "FULSE",
        "authorized_official_first_name": "SYLINDA",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "863-709-3288"
    },
    "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": "PH30168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160681",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacy of the Highlands",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medical Home Alliance LLC
• Medical Systems of Central Florida
• Andres Medina, M.D.
• Olga Maria Medina, APRN
• Melissa Taylor Medlin
• Isaac Medrano
• Jarod Preston Meecham
• Julia Elizabeth Meehan Moroney, PSYD
• Fawzi George Mehanna, MD
• Vivian Mehnert, LMHC

• Community/Retail Pharmacy in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.