UMBRA INC (NPI# 1518109685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518109685 |
| Entity Type | Organization |
| Organization Name | UMBRA INC |
| Other Organization Name | 4TH ST PHARMACY |
| Practice Address |
5415 4th St N St Petersburg FL 33703-2249 |
| Practice Telephone | 7273298798 |
| Practice Fax Number | 7273298800 |
| Mailing Telephone | 7273298798 |
| Mailing Fax Number | 7273298800 |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2016-08-22 |
| Authorized Official Name | FRANCIS ENERIO (PRESIDENT) |
| Authorized Official Telephone | 8134760854 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH23991 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2119880 | 01 | |
| FL | 001669500106 | 05 |
| Other Name | Type Code |
|---|---|
| 4th St Pharmacy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | UMBRA INC. | 2410 North Forest Road Ste 301, Amherst, New York 14068 |
| Street Address |
5415 4TH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33703-2249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689205734 | Jennifer Baylor | Chiropractor | 5415 4th St N, St Petersburg, FL 33703-2249 | 2020-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150276 | Stephanie Gayle Barnes | Rehabilitation Practitioner | 610 47th Ave N, St Petersburg, FL 33703 | 2020-09-25 |
| 1366945099 | St. Petersburg Free Clinic | General Practice | 5501 - 4th Street North, St. Petersburg, FL 33703 | 2018-03-08 |
| 1306381363 | Dominique Timothee | Behavioral Analyst | 4301 16th Street N, St Petersburg, FL 33703 | 2016-12-30 |
| 1962849455 | Bobbie Vaughn | Behavioral Analyst | 880 6th St. South, St. Petersburg, FL 33703 | 2013-05-24 |
| 1255672796 | Mary Paige Bourbeau | Nurse Practitioner | 5500 9th St N., St Petersburg, FL 33703 | 2013-03-07 |
| 1437435237 | Lynn Bonner-nelson | Counselor | 6161 Dr. Mlk Jr Street N. #204, Saint Petersburg, FL 33703 | 2011-10-25 |
| 1245545953 | Patricia Reynolds | Speech-Language Pathologist | 3950 3rd Street North, Suite D, Community Rehab Associates, St. Petersburg, Fl, FL 33703 | 2010-08-18 |
| 1326367145 | Sigurd T Rutkis | Occupational Therapist | 3835 1st Street Northeast, St. Petersburg, FL 33703 | 2010-05-18 |
| 1922338136 | Christy Carr | Mechanotherapist | 5560 Kelly Dr N, Saint Petersburg, FL 33703 | 2010-01-11 |
| 1871730317 | Ronald H Copenhaver Dmd Pa | Dentist | 4338 1st Street N, Suite C, St. Petersburg, FL 33703 | 2009-01-20 |
| Find all providers in zip 33703 | ||||
| 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 |
|---|---|---|---|---|
| 1528610367 | Comprehensive Hematology Oncology LLC | Pharmacy | 5000 Park St N Ste 1025, St Petersburg, FL 33709-2236 | 2019-07-11 |
| 1902465917 | Prathna Inc | Pharmacy | 7601 Dr Martin Luther King Jr St N Ste C, St Petersburg, FL 33702-5200 | 2019-06-12 |
| 1043603665 | Baycare Urgent Care, LLC | Pharmacy | 2331 4th St N, St Petersburg, FL 33704-2801 | 2015-03-06 |
| 1265820807 | Pearl Shah LLC | Pharmacy | 6399 38th Ave N Ste A5, St Petersburg, FL 33710-1651 | 2015-01-06 |
| 1639415839 | Pharmalabs LLC | Pharmacy | 10901 Roosevelt Blvd N, St Petersburg, FL 33716-2305 | 2012-12-17 |
| 1962792531 | Bayfront Hma Medical Center Pharmacy | Pharmacy | 701 6th St. S., St Petersburg, FL 33701-4891 | 2011-04-15 |
| 1699095604 | Trillion Enterprises Inc | Pharmacy | 4130 5th Ave N, St Petersburg, FL 33713-6304 | 2010-06-02 |
| 1285872937 | Pharmland | Pharmacy | 3426 13th Ave N, St Petersburg, FL 33713-5424 | 2009-02-02 |
| 1871749671 | Lurd's Inc | Pharmacy | 401 1st Ave N, St Petersburg, FL 33701-3802 | 2008-08-12 |
| 1003933664 | Tri-med Usa, Inc | Pharmacy | 5779 49th St N, #2, St Petersburg, FL 33709-2107 | 2007-03-26 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33703 |
Please comment or provide details below to improve the information on UMBRA INC.
| 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.