OrganizationActiveAccepts Medicare
Nova Pharmacy Corp
NPI 1255698122 · Community/Retail Pharmacy · Winter Haven, FL
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1255698122
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Mahe Marrero, President(305) 262-6682
- License
- PH25860 (FL)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
950 1st St S Ste 103
Winter Haven, FL 33880-3607
Phone: (305) 262-6682
Fax: (305) 264-4318
Street-level locationGet directions
Mailing address
950 1st St S Ste 103
Winter Haven, FL 33880-3607
Registry dates
- Enumerated
- 2012-04-17
- Last updated
- 2021-09-29
- Certified
- 2021-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.