NPI 1104755222 · live from the CMS NPI Registry
Adventist Health System/Sunbelt INC
Pharmacy, Community/Retail Pharmacy in Minneola, FL. National Provider Identifier 1104755222, active.
NPI record
| NPI | 1104755222 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 1820 N Hancock Rd Ste 110, Minneola, FL 34715 |
| Practice phone | 689-289-2660 |
| Mailing address | 2911 Windham Dr, Eustis, FL 32726 |
| Enumerated | May 15, 2026 |
| Last updated | August 5, 2026 |
| Authorized official | Kelly Hartsfield, Quality Compliance Coordinator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.