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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ACTIVE HEALTH MEDICAL CENTER, LLC
NPI 1215840806
Pharmacy - Community/Retail Pharmacy in Parrish, FL

Active since September 24, 2026
12144 US HIGHWAY 301 N UNIT 101, PARRISH, FL 34219(332) 286-5417(870) 888-0627 Get Directions Write a Review

NPPES record added: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 8, 2026, Sep 28, 2026, Sep 24, 2026 (3 updates tracked since 2026).

About Active Health Medical Center, Llc NPPES

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

ACTIVE HEALTH MEDICAL CENTER, LLC (NPI 1215840806) is a healthcare organization registered as a community/retail pharmacy in Parrish, Florida and active in the NPI registry since September 2026. The organization maintains a secondary practice location in Airway Heights and lists Tracy R. Goldberg, Director, as its authorized official.

NPPES Registry Identity

NPI1215840806
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameACTIVE HEALTH MEDICAL CENTER, LLC
Location Address12144 US HIGHWAY 301 N UNIT 101Parrish, FL 34219-1134
Mailing Address1913 S Mintle St Trlr 42Airway Heights, WA 99001-5262 · Fax (870) 888-0627
Phone(332) 286-5417
Fax(870) 888-0627
Organization SubpartNo
Authorized OfficialTracy R. GoldbergDirector · (332) 286-5417
Enumeration DateSeptember 24, 2026
Last NPPES UpdateOctober 8, 20263 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1215840806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
12144 US HIGHWAY 301 N UNIT 101, Parrish, FL 34219
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Secondary Practice Location 1

Location 11913 S Mintle StAirway Heights, WA 99001-5168 · Phone (870) 888-0627 · Fax (870) 888-0627

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 Active Health Medical Center, LLC's NPI number?

The NPI number for Active Health Medical Center, LLC is 1215840806. It was assigned to this organization in the NPPES registry on September 24, 2026.

Where is Active Health Medical Center, LLC located?

Active Health Medical Center, LLC is located at 12144 Us Highway 301 N Unit 101, Parrish, FL 34219. The listed phone number is (332) 286-5417.

What is Active Health Medical Center, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Active Health Medical Center, LLC was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.