DAVITA MEDICAL FLORIDA, INC. (NPI# 1336209568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336209568 |
Entity Type | Organization |
Organization Name | DAVITA MEDICAL FLORIDA, INC. |
Other Organization Name | DAVITA MEDICAL GROUP, PHARMACY |
Practice Address |
1931 W Lumsden Rd Brandon FL 33511-8819 |
Mailing Address |
10051 5th Street North St. Petersburg FL 33702-2299 |
Practice Telephone | 8136817888 |
Practice Fax Number | 8136610843 |
Mailing Telephone | 8136817888 |
Mailing Fax Number | 8136610843 |
Enumeration Date | 2006-12-11 |
Last Update Date | 2017-05-10 |
Authorized Official Name | JAMES HILGER (CHIEF ACCOUNTING OFFICER) |
Authorized Official Telephone | 2539730777 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH13061 | FL | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 030848000 | 05 | |
PK | 2013026 | 01 | |
FL | 4399230004 | 05 |
Other Name | Type Code |
---|---|
DaVita Medical Group, Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073673208 | Davita Medical Florida, Inc. | Pharmacy | 11920 Seminole Blvd, Largo, FL 33778-2803 | 2006-12-11 |
1154481380 | Davita Medical Florida, Inc. | Pharmacy | 2727 W Dr Martin Luther King Jr Blvd Ste 100, Ste 100, Tampa, FL 33607-6353 | 2006-12-11 |
1508233537 | Davita Medical Florida, Inc. | Non-Pharmacy Dispensing Site | 2424 Manatee Ave W, Suite 100, Bradenton, FL 34205-4954 | 2015-08-25 |
1508138769 | Davita Medical Florida, Inc. | Durable Medical Equipment & Medical Supplies | 4757 Us Highway 19 Ste A, New Port Richey, FL 34652-4945 | 2012-02-03 |
Street Address |
1931 W LUMSDEN RD |
City | BRANDON |
State | FL |
Zip Code | 33511-8819 |
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---|---|---|---|---|
1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
Find all providers in zip 33511 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
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. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114449287 | Family Drug Mart of Brandon, LLC | Pharmacy | 212 E Government St, Brandon, MS 39042-3152 | 2017-07-11 |
1194119875 | H&o Specialty Pharmacy LLC | Pharmacy | 500 Vonderburg Dr Ste 113w, Brandon, FL 33511-5969 | 2015-03-20 |
1942587787 | Freds Stores of Tennessee Inc | Pharmacy | 1898 Spillway Rd, Brandon, MS 39047-6063 | 2011-11-08 |
1295013530 | Northeast Pharmaceuticals, Inc. | Pharmacy | 608 Marquette Road, Brandon, MS 39042 | 2011-08-03 |
1699079756 | Balaji Pharma LLC | Pharmacy | 162 N Parsons Ave, Brandon, FL 33510 | 2011-01-04 |
1316261035 | Alpha Drug Inc | Pharmacy | 1450 Oakfield Dr, Brandon, FL 33511-4853 | 2010-03-24 |
1811221385 | Gudoc Pharmacy Pllc | Pharmacy | 106 S Parsons Ave, Brandon, FL 33511-5225 | 2009-09-30 |
1972743573 | Choice Pharmacy #002 | Pharmacy | 401 S Parsons Ave, Suite C, Brandon, FL 33511-5292 | 2009-02-23 |
1255547915 | F & B Drugs Inc | Pharmacy | 209 S Moon Avenue, Brandon, FL 33511 | 2007-05-16 |
1568532679 | Bill's Prescription Center, Inc. | Pharmacy | 202 E Brandon Blvd, Brandon, FL 33511-5221 | 2006-11-08 |
Find all providers in BRANDON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.