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NORTHEAST FLORIDA HEALTH SERVICES, INC.
NPI 1063903672
Pharmacy - Community/Retail Pharmacy in Deland, FL

Active since May 21, 2018CLIA 10D1026293 · Waiver
1205 S WOODLAND BLVD STE 5, DELAND, FL 32720(386) 202-6025(386) 269-1847 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2021, Aug 22, 2019, Dec 7, 2018 and 1 more (4 updates tracked since 2018).

About Northeast Florida Health Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST FLORIDA HEALTH SERVICES, INC. (NPI 1063903672), doing business as Family Health Source, is a healthcare organization registered as a community/retail pharmacy in Deland, Florida and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through June 1, 2028, maintains a secondary practice location in Deltona, and lists Laurie Asbury, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063903672
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameNORTHEAST FLORIDA HEALTH SERVICES, INC.
Location Address1205 S WOODLAND BLVD STE 5Deland, FL 32720-7464
Mailing Address1205 S Woodland BlvdDeland, FL 32720-7466 · (386) 202-6025 · Fax (386) 269-1847
Phone(386) 202-6025
Fax(386) 269-1847
Organization SubpartYes
Authorized OfficialLaurie AsburyCeo · (386) 202-6025
Enumeration DateMay 21, 2018
Last NPPES UpdateJanuary 28, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2025
✔ NPI 1063903672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
1205 S WOODLAND BLVD STE 5, Deland, FL 32720
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Other Names 1

Doing Business AsFamily Health Source

Secondary Practice Location 1

Location 11200 Deltona BlvdDeltona, FL 32725-6306 · Phone (386) 202-6025

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1026293

Northeast Florida Health Services Dba Family Health Source · Deland, FL
Active · expires Jun 1, 2028
CLIA Number10D1026293
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 2, 2026
Certificate Expiration DateJune 1, 2028
Laboratory DirectorMichael J. Ham-Ying
Laboratory Phone(386) 202-6025
Laboratory LocationNortheast Florida Health Services Dba Family Health Source1205 S Woodland Blvd Ste 4, Deland, FL 32720
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MALENA BULLARD PHARM D
Pharmacist
1205 S WOODLAND BLVD STE 5
DELAND, FL 32720
Volusia County (386) 888-4912
NORTHEAST FLORIDA HEALTH SERVICES, INC.
Clinic/Center (Dental)
1205 S WOODLAND BLVD STE 5
DELAND, FL 32720
Volusia County (386) 888-4911
CHARLES B GREENHOUSE
Pharmacist
1205 S WOODLAND BLVD STE 5
DELAND, FL 32720
Volusia County (386) 888-4912
LEONEL TORRES DDS,MAGD
Dentist
1205 S WOODLAND BLVD STE 5
DELAND, FL 32720
Volusia County (386) 888-4911

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeast Florida Health Services, Inc.'s NPI number?

The NPI number for Northeast Florida Health Services, Inc. is 1063903672. It was assigned to this organization in the NPPES registry on May 21, 2018. The provider is doing business as Family Health Source.

Where is Northeast Florida Health Services, Inc. located?

Northeast Florida Health Services, Inc. is located at 1205 S Woodland Blvd Ste 5, Deland, FL 32720. The listed phone number is (386) 202-6025.

What is Northeast Florida Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Northeast Florida Health Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1026293) is associated with this NPI, valid through June 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northeast Florida Health Services, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 38 other insurers list Northeast Florida Health Services, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northeast Florida Health Services, Inc. was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.