NOVA PHARMACY CORP
NPI 1255698122
Pharmacy - Community/Retail Pharmacy in Winter Haven, FL

Active since April 17, 2012CLIA 10D2324364 · Waiver
950 1ST ST S STE 103, WINTER HAVEN, FL 33880(305) 262-6682(305) 264-4318 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 29, 2021, Jul 26, 2019 (2 updates tracked since 2019).

About Nova Pharmacy Corp NPPES

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

NOVA PHARMACY CORP (NPI 1255698122) is a healthcare organization registered as a community/retail pharmacy in Winter Haven, Florida and active in the NPI registry since April 2012. The organization holds a CLIA Waiver certificate valid through May 21, 2027 and lists Mahe Marrero, President, as its authorized official.

NPPES Registry Identity

NPI1255698122
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameNOVA PHARMACY CORP
Location Address950 1ST ST S STE 103Winter Haven, FL 33880-3607
Mailing Address950 1st St S Ste 103Winter Haven, FL 33880-3607 · (305) 262-6682 · Fax (305) 264-4318
Fax(305) 264-4318
Organization SubpartNo
Authorized OfficialMahe MarreroPresident · (305) 262-6682
Enumeration DateApril 17, 2012
Last NPPES UpdateSeptember 29, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2021
NPI 1255698122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in FL · PH25860
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.
950 1ST ST S STE 103, Winter Haven, FL 33880

Other Identifiers 1

Other5710226FL · Ncpdp

Accepted 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 10D2324364

Nova Pharmacy Corp · Winter Haven, FL
Active · expires May 21, 2027
CLIA Number10D2324364
Laboratory TypePharmacy
Certificate Effective DateMay 22, 2025
Certificate Expiration DateMay 21, 2027
Laboratory DirectorMahe Marrero
Laboratory Phone(305) 262-6682
Laboratory LocationNova Pharmacy Corp950 1st St S Ste 103, Winter Haven, FL 33880
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Nova Pharmacy Corp carries, from the Medicare DMEPOS supplier directory.

Nova Pharmacy Corp

DMEPOS supplier · Winter Haven, FL

Accepts Medicare assignment

Nova Pharmacy Corp agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20420891
Medicare Participant SinceJune 17, 2019
Supplier Location950 1st St S Ste 103Winter Haven, FL 33880
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

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

Pharmacist
950 1ST ST S STE 103
WINTER HAVEN, FL 33880

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 Nova Pharmacy Corp's NPI number?

The NPI number for Nova Pharmacy Corp is 1255698122. It was assigned to this organization in the NPPES registry on April 17, 2012.

Where is Nova Pharmacy Corp located?

Nova Pharmacy Corp is located at 950 1st St S Ste 103, Winter Haven, FL 33880. The listed phone number is (305) 262-6682.

What is Nova Pharmacy Corp's specialty?

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

Does Nova Pharmacy Corp accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Nova Pharmacy Corp accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Nova Pharmacy Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2324364) is associated with this NPI, valid through May 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Nova Pharmacy Corp 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 48 other insurers list Nova Pharmacy Corp 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 Nova Pharmacy Corp was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.