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VILLA PHARMACY LLC
NPI 1720415599
Pharmacy in Winter Haven, FL

Active since October 10, 2013
105 AVENUE R NW, WINTER HAVEN, FL 33881(813) 215-9855 Get Directions Write a Review

NPPES record last updated: June 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Villa Pharmacy Llc NPPES

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

VILLA PHARMACY LLC (NPI 1720415599) is a healthcare organization registered as a pharmacy in Winter Haven, Florida and active in the NPI registry since October 2013. The organization lists Dwayne Jones, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1720415599
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameVILLA PHARMACY LLC
Location Address105 AVENUE R NWWinter Haven, FL 33881
Mailing Address105 Avenue R NwWinter Haven, FL 33881-2147 · (813) 215-9855
Phone(813) 215-9855
Organization SubpartNo
Authorized OfficialDwayne JonesOwner/manager · (813) 215-9855
Enumeration DateOctober 10, 2013
Last NPPES UpdateJune 23, 2016
✔ NPI 1720415599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in FL · PH27110
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
105 AVENUE R NW, Winter Haven, FL 33881
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Other Names 1

Doing Business AsVilla Pharmacy Llc

Other Identifiers 1

Medicare NSC7513150001FL

Other Providers at the Same Location NPPES 2

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

VILLA PHARMACY LLC
Pharmacy (Long Term Care Pharmacy)
105 AVENUE R NW
WINTER HAVEN, FL 33881
Polk County (863) 229-5978
DR. KEVIN PRUITT V PH.D
Pharmacist
105 AVENUE R NW
WINTER HAVEN, FL 33881
Polk County (863) 229-5978

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 Villa Pharmacy LLC's NPI number?

The NPI number for Villa Pharmacy LLC is 1720415599. It was assigned to this organization in the NPPES registry on October 10, 2013.

Where is Villa Pharmacy LLC located?

Villa Pharmacy LLC is located at 105 Avenue R NW, Winter Haven, FL 33881. The listed phone number is (813) 215-9855.

What is Villa Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Villa Pharmacy LLC was last updated on June 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.