DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CENTERWELL PHARMACY, INC.

MEDICARE: CENTERWELL PHARMACY, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548902372
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTERWELL PHARMACY, INC.
Provider Business Mailing Address
First Line : 4078 S RIDGEWOOD AVE
Second Line :
City : PORT ORANGE
State : FL
Zip : 32127-4501
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4078 S RIDGEWOOD AVE
Second Line :
City : PORT ORANGE
State : FL
Zip : 32127-4501
Country : US
Telephone Number : 386-241-1544
Fax Number :
Authorized Official
Title or Position : VP
Name : SEAN LYSINGER
Credential :
Telephone Number : 502-580-2376
Provider Enumeration Date : 04/12/2022
Last Update Date : 06/12/2025

Similar Medicare Providers

1174798433 — ORANGE COUNTY NEWBORN MEDICARE CARE PC
Practice Location Address:
3 SAINT STEPHENS PL , SUITE 2
WARWICK, NY
10990-3208
Practice Phone: 845-987-9700
Practice Fax:
1912985789 — DR. ENERCIDA MARTINEZ M.D
Practice Location Address:
4090 S RIDGEWOOD AVE
PORT ORANGE, FL
32127-4501
Practice Phone: 386-761-0050
Practice Fax: 386-761-1167
1912106071 — GERMAN CAMACHO M.D.
Practice Location Address:
4090 S RIDGEWOOD AVE
PORT ORANGE, FL
32127-4501
Practice Phone: 386-761-0050
Practice Fax: 386-761-1167
1669978953 — AMER ZAKARIA
Practice Location Address:
4090 S RIDGEWOOD AVE
PORT ORANGE, FL
32127-4501
Practice Phone: 386-387-5573
Practice Fax: 407-564-2115
1912477472 — YARISNEISY GONZALEZ APRN
Practice Location Address:
4090 S RIDGEWOOD AVE
PORT ORANGE, FL
32127-4501
Practice Phone: 386-280-7251
Practice Fax:
1619433869 — METCARE OF FLORIDA, INC
Practice Location Address:
4090 S RIDGEWOOD AVE
PORT ORANGE, FL
32127-4501
Practice Phone: 386-761-0050
Practice Fax: 386-761-1167
1124787742 — MRS. CASSANDRA NICHOLE WARNER APRN
Practice Location Address:
4090 S RIDGEWOOD AVE
PORT ORANGE, FL
32127-4501
Practice Phone: 386-761-0050
Practice Fax: 386-761-1167

Directions to “CENTERWELL PHARMACY, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.