SMA HEALTHCARE PHARMACY (NPI# 1417939794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417939794 |
| Entity Type | Organization |
| Organization Name | SMA HEALTHCARE PHARMACY |
| Other Organization Name | ACT CORP. |
| Practice Address |
1220 Willis Ave Bldg. 2 Daytona Beach FL 32114-2810 |
| Practice Telephone | 3862363188 |
| Practice Fax Number | 3862396123 |
| Mailing Telephone | 3862363188 |
| Mailing Fax Number | 3862396123 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2019-07-26 |
| Authorized Official Name | NICOLE SPROUL (PAHRMACIST IN CHARGE) |
| Authorized Official Telephone | 3862361658 |
| Authorized Official Credential | R.PH,, C.PH. |
| Is Organization Subpart | Y |
| Parent Organization Name | SMA HEALTHCARE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 0010338 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 101630000 | 05 |
| Other Name | Type Code |
|---|---|
| Act Corp. | Former Legal Business Name - Organization |
| Street Address |
1220 WILLIS AVE BLDG. 2 |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-2810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740287747 | Catherine Virginia Root | Registered Nurse | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2005-07-05 |
| 1548806961 | Monique Evelyn | Counselor | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2019-11-20 |
| 1285270843 | Sarah Burrows | Social Worker | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2019-11-19 |
| 1154988814 | Gena Penn | Nurse Practitioner | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2019-05-28 |
| 1841764123 | Robert Batie | Social Worker | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2019-01-19 |
| 1457835563 | Francesca Thomas | Counselor | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2018-09-24 |
| 1538662630 | Gina Alexandria Kopacki-birt | Counselor | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2018-03-14 |
| 1972006120 | Melissa J Eugley | Social Worker | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2018-03-14 |
| 1720589229 | Irene Talarico | Nurse Practitioner | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2018-02-21 |
| 1134667181 | Amy Beth Mcdonnell | Nurse Practitioner | 1220 Willis Ave, Daytona Beach, FL 32114-2810 | 2017-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013048115 | Dyals Mason Avenue Pharmacy Inc | Pharmacy | 636 Mason Ave, Daytona Beach, FL 32117-4835 | 2007-03-08 |
| 1386738797 | Babi Pharmaceutical Services Inc | Pharmacy | 968 Orange Ave, Daytona Beach, FL 32114-4667 | 2006-10-03 |
| 1235241175 | Central Daytona Pharmacy | Pharmacy | 1232 8th St, Daytona Beach, FL 32117-4009 | 2006-08-31 |
| 1093211393 | Rural Health Care Incorporated | Pharmacy | 1425 Dunn Ave, Daytona Beach, FL 32114 | 2018-04-04 |
| 1881013498 | George Pharmacy Inc | Pharmacy | 948 Orange Ave, Daytona Beach, FL 32114-4668 | 2014-04-10 |
| 1841322005 | Florida Health Care Plans Inc | Pharmacy | 350 N Clyde Morris Blvd, Daytona Beach, FL 32114-2733 | 2007-03-12 |
| 1356358394 | Halifax Hospital Medical Center | Pharmacy | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-08-02 |
| 1023049137 | K Mart Corp | Pharmacy | 1300 W International Speedway Blvd, Daytona Beach, FL 32114-1490 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452974 | Curry Ford Pharmacy LLC | Pharmacy | 4538 Curry Ford Rd, Orlando, FL 32812-2711 | 2020-09-19 |
| 1225641525 | Englewood Pharmaceutical Services Inc | Pharmacy | 1720 S Mccall Rd Ste J, Englewood, FL 34223-4867 | 2020-08-26 |
| 1972115103 | Intellrx Consulting LLC | Pharmacy | 1257 The 12th Fairway, Wellington, FL 33414-5738 | 2020-08-19 |
| 1518577576 | Publix Super Markets, Inc | Pharmacy | 7340 Kathleen Rd, Lakeland, FL 33810-4495 | 2020-08-05 |
| 1962011890 | Green Star Pharmacy | Pharmacy | 2950 Winkler Ave Ste 701, Fort Myers, FL 33916-9322 | 2020-07-27 |
| 1356959134 | Cverx Pharmacy Corp | Pharmacy | 7360 Sw 24th St Ste 29, Miami, FL 33155-1462 | 2020-07-17 |
| 1447877287 | Jerry Voltaire | Pharmacy | 16470 Cedar Run Dr, Orlando, FL 32828-6970 | 2020-06-27 |
| 1598381980 | John Melvin Schemm IIi | Pharmacy | 7617 Bay Port Rd, Orlando, FL 32819-5504 | 2020-06-22 |
| 1891318267 | Empire Specialty Pharmacy LLC | Pharmacy | 749 S Apollo Blvd, Melbourne, FL 32901-1457 | 2020-05-20 |
| 1992334205 | Mypills Pharmacy LLC | Pharmacy | 303a E 1st St, Sanford, FL 32771-1377 | 2020-04-07 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.