IMA SOUTH LAKELAND DISPENSARY
NPI 1386173573
Non-Pharmacy Dispensing Site in Lakeland, FL

Q: What is Medical Home Alliance LLC's NPI number?

The NPI number for Medical Home Alliance LLC is 1386173573. It was assigned to this organization in the NPPES registry on June 9, 2017. The provider is doing business as Ima South Lakeland Dispensary.

Q: What is Medical Home Alliance LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Active since June 09, 2017

4725 US HIGHWAY 98 S STE 102, LAKELAND, FL 33812(863) 646-9663(863) 646-8664 Get Directions Write a Review

NPPES record last updated: June 9, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ima South Lakeland Dispensary NPPES

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

IMA SOUTH LAKELAND DISPENSARY (NPI 1386173573) is a healthcare organization registered as a non-pharmacy dispensing site in Lakeland, Florida and active in the NPI registry since June 2017. The organization lists Patricia Pichardo, Coo, as its authorized official.

NPPES Registry Identity

NPI1386173573

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameMEDICAL HOME ALLIANCE LLC

Location Address4725 US HIGHWAY 98 S STE 102Lakeland, FL 33812-4334

Mailing Address6675 Westwood Blvd Ste 475Orlando, FL 32821-6027 · (407) 845-0330 · Fax (888) 972-1752

Phone(863) 646-9663

Fax(863) 646-8664

Organization SubpartYesParent: Inhealth Md Alliance Llc

Authorized OfficialPatricia PichardoCoo · (407) 845-0330

Enumeration DateJune 9, 2017

✔ NPI 1386173573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

4725 US HIGHWAY 98 S STE 102, Lakeland, FL 33812

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Other Names 1

Doing Business AsIma South Lakeland Dispensary

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES

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

DR. LENNY TUA MENDEZ M.D.

General Practice

4725 US HIGHWAY 98 S STE 102
LAKELAND, FL 33812

Polk County (863) 646-9191

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 Medical Home Alliance LLC's NPI number?

The NPI number for Medical Home Alliance LLC is 1386173573. It was assigned to this organization in the NPPES registry on June 9, 2017. The provider is doing business as Ima South Lakeland Dispensary.

Where is Medical Home Alliance LLC located?

Medical Home Alliance LLC is located at 4725 Us Highway 98 S Ste 102, Lakeland, FL 33812. The listed phone number is (863) 646-9663.

What is Medical Home Alliance LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

What insurance does Medical Home Alliance LLC accept?

Health plans from Moda Health Plan, Inc. list Medical Home Alliance LLC 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 Medical Home Alliance LLC was last updated on June 9, 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.