Corexa Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH25226 Issued in FL

Legal business name

COREXA PHARMACY LLC

Practice address

354 Eagles Landing Dr.
Lakeland, FL 33810

Phone

(727) 896-0001

Fax

(727) 896-0002

NPI assigned

Feb 8, 2011

Organization subpart

Yes

Parent organization

COREXA HEALTH, LLCAs reported in NPPES

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

Authorized official

Name

Nikul R PanchalNPI 1437658895

Title

Pic/SVP of Pharmacy

Phone

(813) 482-7700

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 2

• Corexa Hub Doing business as
• WELLGISTICS HUB Doing business as

Tax ID family

Corexa Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Corexa Pharmacy LLC

  • Pharmacy
  • Lakeland, FL
  • NPI 1417579863
  NPD tax ID

Locations

Networks

• Optimum HealthCare HMO NetworkPlans: 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 NetworkPlans: 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)…

Practitioners 4

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

• Nikul R Panchal

  • Pharmacist
  • Lakeland, FL
  • NPI 1437658895
  NPD Authorized official
• Sean Benfield Cosner

  • Pharmacy Technician
  • Tampa, FL
  • NPI 1326791716
  NPD (past)
• Clinton M Cronin, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Tampa, FL
  • NPI 1336810589
  NPD (past)
• Dominique Nguyen, PHARMD

  • Community/Retail Pharmacy
  • Tampa, FL
  • NPI 1285263871
  NPD (past)

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1982900981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 EAGLES LANDING DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338102999",
            "telephone_number": "727-896-0001",
            "fax_number": "727-896-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 EAGLES LANDING DR.",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33810",
            "telephone_number": "727-896-0001",
            "fax_number": "727-896-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREXA PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COREXA HEALTH, LLC",
        "enumeration_date": "2011-02-08",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "PANCHAL",
        "authorized_official_first_name": "NIKUL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PIC/SVP OF PHARMACY",
        "authorized_official_telephone_number": "813-482-7700"
    },
    "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": "PH25226",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLBOP",
            "identifier": "25226",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corexa Hub",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WELLGISTICS HUB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sali Cordero, AGPCNP-BC
• Brigitte Cordova
• Tatiana Cordova
• Core Training Services LLC
• Corexa Pharmacy LLC
• Ashley B Corn, ARNP
• Ellisa Brianne Cornelius, APRN
• Cornerstone Caregiving East LLC
• Cornerstone Health Specialists
• Wilson Jason Cornett, MD

• 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 Jul 22, 2026; 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.