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CYPRESS PHARMACY
NPI 1487739215
Pharmacy - Community/Retail Pharmacy in Fort Myers, FL

Active since October 27, 2006CLIA 10D2134736 · Waiver
9451 CYPRESS LAKE DR, FORT MYERS, FL 33919(239) 481-7322(239) 481-0151 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 13, 2022, Jan 27, 2020, Dec 20, 2016 and 1 more (4 updates tracked since 2016).

About Cypress Pharmacy NPPES

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

CYPRESS PHARMACY (NPI 1487739215) is a healthcare organization registered as a community/retail pharmacy in Fort Myers, Florida and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 7, 2027 and lists Justin R Ceravolo, Owner, as its authorized official.

NPPES Registry Identity

NPI1487739215
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCYPRESS PHARMACY INC
Location Address9451 CYPRESS LAKE DRFort Myers, FL 33919-4909
Mailing Address9451 Cypress Lake DrFort Myers, FL 33919-4909 · (239) 481-7322 · Fax (239) 481-0151
Phone(239) 481-7322
Fax(239) 481-0151
Organization SubpartNo
Authorized OfficialJustin R CeravoloOwner · (239) 481-7322
Enumeration DateOctober 27, 2006
Last NPPES UpdateMay 30, 20244 updates tracked since enumeration
NPPES CertifiedMay 30, 2024
✔ NPI 1487739215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in FL · PH23348
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 ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
9451 CYPRESS LAKE DR, Fort Myers, FL 33919
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Other Names 1

Doing Business AsCypress Pharmacy

Other Identifiers 1

Medicaid108040900FL

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 10D2134736

Cypress Pharmacy · Fort Myers, FL
Active · expires Aug 7, 2027
CLIA Number10D2134736
Laboratory TypePharmacy
Certificate Effective DateAugust 8, 2025
Certificate Expiration DateAugust 7, 2027
Laboratory DirectorJustin Ceravolo
Laboratory Phone(239) 481-7322
Laboratory LocationCypress Pharmacy9451 Cypress Lake Drive, Fort Myers, FL 33919
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
133 services133 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
130 services130 patients

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.

JUSTIN RYAN CERAVOLO PHARM.D.
Pharmacist
9451 CYPRESS LAKE DR
FORT MYERS, FL 33919
Lee County (239) 481-7322
DR. THOMAS JAY DEPAOLA JR. PHARMD
Pharmacist
9451 CYPRESS LAKE DR
FORT MYERS, FL 33919
Lee County (239) 481-7322
CYPRESS PHARMACY, INC
Pharmacy (Long Term Care Pharmacy)
9451 CYPRESS LAKE DR
FORT MYERS, FL 33919
Lee County (239) 481-7322

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 Cypress Pharmacy Inc's NPI number?

The NPI number for Cypress Pharmacy Inc is 1487739215. It was assigned to this organization in the NPPES registry on October 27, 2006. The provider is doing business as Cypress Pharmacy.

Where is Cypress Pharmacy Inc located?

Cypress Pharmacy Inc is located at 9451 Cypress Lake Dr, Fort Myers, FL 33919. The listed phone number is (239) 481-7322.

What is Cypress Pharmacy Inc's specialty?

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

Does Cypress Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2134736) is associated with this NPI, valid through August 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cypress Pharmacy 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 48 other insurers list Cypress Pharmacy 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 Cypress Pharmacy Inc was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.