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HEARTLAND PHARMACY LAKE PLACID INC
NPI 1063958437
Durable Medical Equipment & Medical Supplies in Lake Placid, FL

Active since January 10, 2017CLIA 10D2210008 · Waiver
342 E ROYAL PALM ST, LAKE PLACID, FL 33852(863) 659-1780(863) 659-1786 Get Directions Write a Review

NPPES record last updated: January 10, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heartland Pharmacy Lake Placid Inc NPPES

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

HEARTLAND PHARMACY LAKE PLACID INC (NPI 1063958437) is a healthcare organization registered as a durable medical equipment & medical supplies in Lake Placid, Florida and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through January 18, 2027 and lists Carin Duncan Bralts, President, as its authorized official.

NPPES Registry Identity

NPI1063958437
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameHEARTLAND PHARMACY LAKE PLACID INC
Location Address342 E ROYAL PALM STLake Placid, FL 33852-5019
Mailing Address342 E Royal Palm StLake Placid, FL 33852-5019 · (863) 659-1780 · Fax (863) 659-1786
Phone(863) 659-1780
Fax(863) 659-1786
Organization SubpartNo
Authorized OfficialCarin Duncan BraltsPresident · (863) 449-1006
Enumeration DateJanuary 10, 2017
✔ NPI 1063958437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in FL · PH26570
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
342 E ROYAL PALM ST, Lake Placid, FL 33852
Open in Google Maps ↗

Other Identifiers 2

Medicaid008053901FL
Medicare NSC6840910001FL

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 10D2210008

Heartland Pharmacy Lake Placid, Inc · Lake Placid, FL
Active · expires Jan 18, 2027
CLIA Number10D2210008
Laboratory TypePharmacy
Certificate Effective DateJanuary 19, 2025
Certificate Expiration DateJanuary 18, 2027
Laboratory DirectorCarin Bralts
Laboratory Phone(863) 659-7180
Laboratory LocationHeartland Pharmacy Lake Placid, Inc342 E Royal Palm St, Lake Placid, FL 33852
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

HEARTLAND PHARMACY LAKE PLACID INC
Pharmacy (Long Term Care Pharmacy)
342 E ROYAL PALM ST
LAKE PLACID, FL 33852
Highlands County (863) 659-1780
CARIN D BRALTS
Pharmacist
342 E ROYAL PALM ST
LAKE PLACID, FL 33852
Highlands County (863) 449-1006
HEARTLAND PHARMACY LAKE PLACID
Pharmacy (Community/Retail Pharmacy)
342 E ROYAL PALM ST
LAKE PLACID, FL 33852
Highlands County (863) 659-1780

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 Heartland Pharmacy Lake Placid Inc's NPI number?

The NPI number for Heartland Pharmacy Lake Placid Inc is 1063958437. It was assigned to this organization in the NPPES registry on January 10, 2017.

Where is Heartland Pharmacy Lake Placid Inc located?

Heartland Pharmacy Lake Placid Inc is located at 342 E Royal Palm St, Lake Placid, FL 33852. The listed phone number is (863) 659-1780.

What is Heartland Pharmacy Lake Placid Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Heartland Pharmacy Lake Placid Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2210008) is associated with this NPI, valid through January 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Heartland Pharmacy Lake Placid Inc was last updated on January 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.