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SMA HEALTHCARE INC NPI 1417939794


NPI Information

NPI: 1417939794
Provider Name: SMA HEALTHCARE INC

Former Legal Business Name: ACT CORP.

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1220 WILLIS AVE
BLDG. 2
DAYTONA BEACH, FL
ZIP 32114
Phone: (386) 236-3188
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SMA HEALTHCARE INC is a pharmacy in Daytona Beach, FL. The provider is 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. SMA HEALTHCARE INC NPI is 1417939794. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Act Corp..

The provider's business location address is:

1220 WILLIS AVE
BLDG. 2
DAYTONA BEACH, FL
ZIP 32114-810
Phone: (386) 236-3188
Fax: (386) 239-6123

The provider's authorized official is Nicole Sproul .
The authorized official title is Pahrmacist In Charge and has the following contact phone number (386) 236-1658.

The enumeration date for this NPI number is 11/14/2005 and was last updated on 10/9/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacy0010338FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1101630000MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.