DELTONA PHARMACY OF FLORIDA, LLC – Pharmacy, NPI 1164408860

DELTONA PHARMACY OF FLORIDA, LLC is a healthcare provider. based in Deltona, Florida. specializing in Pharmacy. The organization holds a License No. PH24105 (FL). The NPI Number for DELTONA PHARMACY OF FLORIDA, LLC is 1164408860

Main info

Organization
Name
DELTONA PHARMACY OF FLORIDA, LLC
NPI
1164408860
Phone
(386) 574-7600
Address
776 DELTONA BLVD
Authorized Official
MR. CARLOS RANDULFE MANAGING MEMBER PHRAMD
Enumeration Date
15 December 2005
Last Update Date
22 December 2020

Contacts

Other Endpoint
Phone/Fax
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DELTONA PHARMACY OF FLORIDA, LLC

  • 776, Deltona Boulevard, Deltona, Volusia County, Florida, 32725, United States

    DELTONA, FL 327257107

    Phone: (386) 574-7600

    Fax: (386) 574-1489

    Type: Location

  • 155, East New England Avenue, Winter Park, Orange County, Florida, 32789, United States

    WINTER PARK, FL 327894330

    Phone: (407) 647-2311

    Fax: (407) 647-1687

    Type: Mailing

  • 25987 S TAMIAMI TRL STE 102

    BONITA SPRINGS, FL 341347807

    Phone: (239) 317-0771

    Fax: (386) 574-1489

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32725)

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Reviews

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Frequently asked questions

What is the standard ID for DELTONA PHARMACY OF FLORIDA, LLC in the U.S.?
In the U.S., DELTONA PHARMACY OF FLORIDA, LLC is identified by NPI 1164408860.
Should I treat DELTONA PHARMACY OF FLORIDA, LLC as an active provider?
Patients and plans typically see DELTONA PHARMACY OF FLORIDA, LLC as active in the national extract.
What type of care does DELTONA PHARMACY OF FLORIDA, LLC provide?
DELTONA PHARMACY OF FLORIDA, LLC's profile centers on Pharmacy. Clinical services aligned with this taxonomy classification.
Is DELTONA PHARMACY OF FLORIDA, LLC tied to Deltona, Florida?
If you are local to Deltona, Florida, DELTONA PHARMACY OF FLORIDA, LLC may be relevant to your search.
Can I export DELTONA PHARMACY OF FLORIDA, LLC's record?
You can download the official NPPES record; we summarize key fields for readability.

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