Provider Demographics
NPI:1326181090
Name:HANAI INC
Entity Type:Organization
Organization Name:HANAI INC
Other - Org Name:HEARTLAND PHARMACY & MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-767-8920
Mailing Address - Street 1:116 HEARTLAND WAY
Mailing Address - Street 2:
Mailing Address - City:WAUCHULA
Mailing Address - State:FL
Mailing Address - Zip Code:33873-5000
Mailing Address - Country:US
Mailing Address - Phone:863-767-8920
Mailing Address - Fax:863-773-3172
Practice Address - Street 1:116 HEARTLAND WAY
Practice Address - Street 2:
Practice Address - City:WAUCHULA
Practice Address - State:FL
Practice Address - Zip Code:33873-5000
Practice Address - Country:US
Practice Address - Phone:863-767-8920
Practice Address - Fax:863-773-3172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH16462332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL021543100Medicaid
FL021543101Medicaid
FLP8065OtherBCBS PROVIDER NUMBER
FL1086481OtherNCPDP NUMBER
FL5165490001Medicare NSC