NPIMap

Organization Active NPI

Florida Health Care Plan, Inc.

Doing business as Florida Health Care Plans Pharmacy-Holly Hill

  • Managed Care Organization Pharmacy
  • Holly Hill, FL
National Provider Identifier
1922130277
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Managed Care Organization PharmacyTaxonomy code 3336M0003X
Legal business name
FLORIDA HEALTH CARE PLAN, INC.
Doing business as
Florida Health Care Plans Pharmacy-Holly Hill
Practice address
1510 Ridgewood Ave Ste 100
Holly Hill, FL 32117-2259
Phone
(386) 676-7173
NPI assigned
Mar 12, 2007
Last updated
Apr 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Dr. Christopher J. Smith
Title
Cmo
Phone
(386) 615-5008

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Managed Care Organization Pharmacy 3336M0003X Primary

Addresses

Primary practice location

1510 Ridgewood Ave Ste 100
Holly Hill, FL 32117-2259

Mailing address

2450 Mason Ave
Daytona Beach, FL 32114-5110
Phone (386) 615-5008

Other names 1

  • Florida Health Care Plans Pharmacy-Holly Hill Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Florida HLTH Care Plan20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

1510 Ridgewood Ave
Ste 100
Holly Hill, FL 32117
Phone (386) 676-7173

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1922130277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 MASON AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145110",
            "telephone_number": "386-615-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 RIDGEWOOD AVE STE 100",
            "city": "HOLLY HILL",
            "state": "FL",
            "postal_code": "321172259",
            "telephone_number": "386-676-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA HEALTH CARE PLAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "386-615-5008",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Health Care Plans Pharmacy-Holly Hill",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Florida Health Care Plans Pharmacy-Holly Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holly Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.