VILLA PHARMACY LLC NPI 1720415599

NPI Information

  • NPI: 1720415599
  • Provider Name: VILLA PHARMACY LLC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: VILLA PHARMACY LLC
  • Address: 105 AVENUE R NW
    WINTER HAVEN, FL
    ZIP 33881
  • Phone: (813) 215-9855

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NPI Details

VILLA PHARMACY LLC is a pharmacy in Winter Haven, 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. VILLA PHARMACY LLC NPI is 1720415599. The provider is registered as an organization entity type.
The provider Is Doing Business As Villa Pharmacy Llc.

The provider's business location address is:

105 AVENUE R NW
WINTER HAVEN, FL
ZIP 33881
Phone: (813) 215-9855

The provider's authorized official is Dwayne Jones .
The authorized official title is Owner/manager and has the following contact phone number (813) 215-9855.

The enumeration date for this NPI number is 10/10/2013 and was last updated on 6/23/2016.

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
1333600000XPharmacyPH27110FLORIDAYes

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
17513150001MEDICARE NSCFLORIDA

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: 11/21/2025

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