NPI 1215840806 · live from the CMS NPI Registry
Active Health Medical Center, LLC
Pharmacy, Community/Retail Pharmacy in Parrish, FL. National Provider Identifier 1215840806, active.
NPI record
| NPI | 1215840806 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 12144 Us Highway 301 N Unit 101, Parrish, FL 34219 |
| Practice phone | 332-286-5417 |
| Mailing address | 1913 S Mintle St Trlr 42, Airway Heights, WA 99001 |
| Enumerated | September 24, 2026 |
| Last updated | October 8, 2026 |
| Authorized official | Tracy R. Goldberg, Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| 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.