HUMANA MEDICAL PLAN INC (NPI# 1699790170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699790170 |
| Entity Type | Organization |
| Organization Name | HUMANA MEDICAL PLAN INC |
| Other Organization Name | HUMANA PHARMACY 47906 |
| Practice Address |
2216 Hollywood Blvd Hollywood FL 33020-6702 |
| Practice Telephone | 9549262914 |
| Practice Fax Number | 9549262957 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEPHANIE WALLACE (MANAGER) |
| Authorized Official Telephone | 9549262914 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
PH09985 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1071959 | 01 |
| Other Name | Type Code |
|---|---|
| HUMANA PHARMACY 47906 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053336545 | Humana Medical Plan Inc | Pharmacy | 11000 Sw 211th Street, Cutler Ridge, FL 33189 | 2006-07-13 |
| 1134140114 | Humana Medical Plan Inc | Pharmacy | 6971 W Sunrise Blvd, Plantation, FL 33313-4407 | 2006-07-22 |
| 1871518365 | Humana Medical Plan Inc | Pharmacy | 11701 Mills Dr, Miami, FL 33183-4836 | 2006-07-13 |
| 1598780082 | Humana Medical Plan Inc | Pharmacy | 5643 Nw 29th St, Suite 120, Margate, FL 33063-1531 | 2006-07-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | HUMANA MEDICAL PLAN INC. | 3501 Sw 160th Ave, Miramar, Florida 33027-4695 |
| Street Address |
2216 HOLLYWOOD BLVD |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33020-6702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932410222 | Joseph A. Rodriguez, M.d., P.a. | Family Medicine | 2216 Hollywood Blvd, Hollywood, FL 33020-6702 | 2010-07-01 |
| 1467663997 | Joseph Anthony Rodriguez | Family Medicine | 2216 Hollywood Blvd, Hollywood, FL 33020-6702 | 2007-05-25 |
| 1871516559 | Stephanie Rutledge Wallace | Pharmacist | 2216 Hollywood Blvd, Hollywood, FL 33020-6702 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694203 | Oaks Medical Group, LLC | Internal Medicine | 2854 Jackson St, Hollywood, FL 33020 | 2020-06-19 |
| 1487217949 | Yaneisy Correa Vento Sr. | Nurse Practitioner | 2700 E Hollywood Blud, Hollywood, FL 33020 | 2019-04-19 |
| 1811453590 | Sandra's Car Service LLC | Non-emergency Medical Transport (VAN) | 2048 Mckinley St. Bay #1, Hollywood, FL 33020 | 2019-02-18 |
| 1134605330 | Cruz Ines Diaz | Peer Specialist | 3400 N- 29th Avenue, Hollywood, FL 33020 | 2018-07-11 |
| 1598258451 | Brian Tran | Dentist | 1704 Stirling Rd., Hollywood, FL 33020 | 2018-06-14 |
| 1295223451 | Broward Treatment Center | Substance Abuse Rehabilitation Facility | 1101 S 21 Ave, Hollywood, FL 33020 | 2018-04-24 |
| 1033617220 | Laura Goldman | Psychologist | 2514 Hollywood Blvd Ste 404, Hollywood, FL 33020 | 2018-01-23 |
| 1205344835 | Sunshine Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 1926 Hollywood Blvd Ste 204, Hollywood, FL 33020 | 2018-01-17 |
| 1124536222 | Melina Rodriguez | Counselor | 3400 N 29th Avenue, Hollywood, FL 33020 | 2018-01-11 |
| 1003337783 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 1776 Polk St., Hollywood, FL 33020 | 2017-07-03 |
| Find all providers in zip 33020 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1538375852 | Metro Treatment of Florida, Lp | Pharmacy | 1101 S 21st Ave, Hollywood, FL 33020-6935 | 2007-05-15 |
| 1164562211 | South Broward Hospital District | Pharmacy | 4105 Pembroke Rd, Hollywood, FL 33021-8103 | 2007-02-07 |
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| 1093322851 | Al Mani Health Institute | Pharmacy | 7710 Nw 71st Ct Ste 205a, Tamarac, FL 33321-2931 | 2020-09-25 |
| 1114579158 | Doctors Diet Program of South Florida Pllc | Pharmacy | 1501 W Reynolds St, Plant City, FL 33563-4707 | 2019-07-10 |
| 1770007486 | Millenium Clinic Pharmacy Inc | Pharmacy | 12914 Sw 133rd Ct Ste B, Miami, FL 33186-6585 | 2017-08-03 |
| 1902278427 | Metro Treatment of Florida, Lp | Pharmacy | 1415 Homestead Rd, Lehigh Acres, FL 33936-4830 | 2015-10-23 |
| 1942676168 | Trenton Medical Center Inc | Pharmacy | 103 Us Highway 27 Sw, Branford, FL 32008-2767 | 2015-08-12 |
| 1043699044 | Island Rx, LLC | Pharmacy | 90130 Old Hwy Ste 1a, Tavernier, FL 33070-2348 | 2015-05-22 |
| 1528460128 | Doctor Today Tlc, LLC | Pharmacy | 101 Magnolia Ave, Auburndale, FL 33823-4201 | 2014-09-25 |
| 1760881437 | Tampa Family Health Centers Inc | Pharmacy | 6216 E Sligh Avenue, Tampa, FL 33617 | 2014-08-19 |
| 1467885376 | Pasteur Pharmacy Vi, LLC | Pharmacy | 8000 Governors Sq Blvd, Miami Lakes, FL 33016-6201 | 2013-08-14 |
| Find all providers with the same taxonomy | ||||
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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.