SOUTHSHORE PHARMACY, INC. (NPI# 1710381694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710381694 |
| Entity Type | Organization |
| Organization Name | SOUTHSHORE PHARMACY, INC. |
| Practice Address |
13127 Kings Lake Dr. Unit 102 Gibsonton FL 33534-3958 |
| Practice Telephone | 8136729600 |
| Practice Fax Number | 8136131968 |
| Mailing Telephone | 8136729600 |
| Mailing Fax Number | 8136131968 |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2015-09-11 |
| Authorized Official Name | MR. DAVID A FLAX (OWNER) |
| Authorized Official Telephone | 8637123064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers |
| Street Address |
13127 KINGS LAKE DR. UNIT 102 |
| City | GIBSONTON |
| State | FL |
| Zip Code | 33534-3958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245476142 | Womens Care Florida LLP | Obstetrics & Gynecology | 13123 Kings Lake Drive, #102, Gibsonton, FL 33534 | 2008-12-23 |
| 1467484097 | Kera Young | Dentist | 13131 Kings Lake Drive, Suite 104, Gibsonton, FL 33534 | 2006-07-06 |
| 1891898425 | Wal-mart Stores East, Lp | Technician/Technologist | 9205 Gibsonton Dr, Gibsonton, FL 33534 | 2006-09-07 |
| 1104130335 | Robert Joseph Klukoff | Psychologist | 7738 Carriage Pointe Dr, Gibsonton, FL 33534-3003 | 2010-07-29 |
| 1588162341 | Genquetta Michelle Smith | Technician, Health Information | 7938 Carriage Pointe Dr, Gibsonton, FL 33534-3007 | 2018-01-26 |
| 1013262534 | Danny Fils-aime | Home Health | 8021 Carriage Point Dr, Gibsonton, FL 33534-3010 | 2012-07-20 |
| 1790051001 | Careone Home Health Services,llc | Home Health | 8021 Carriage Pointe Dr, Gibsonton, FL 33534-3010 | 2012-03-30 |
| 1861757445 | Careone Home Health Services,llc | Home Health | 8021 Carriage Pointe Dr, Gibsonton, FL 33534-3010 | 2012-07-10 |
| 1235490699 | Olguine Mode | Home Health | 8021 Carriage Pointe Dr, Gibsonton, FL 33534-3010 | 2012-06-01 |
| 1669865267 | Selena Chanel Bowden Lemons | Counselor | 11514 Button Bay Pl, Gibsonton, FL 33534-3021 | 2015-03-06 |
| Find all providers in zip 33534 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538527130 | Elkabary Enterprises LLC, Dba Veracity Pharmacy | Pharmacy | 13135 Kings Lake Dr, Unit 102, Gibsonton, FL 33534-3960 | 2016-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473414 | Tu Te Wellness Pharmacy LLC | Pharmacy | 8563 Argyle Business Loop Ste 1, Jacksonville, FL 32244-6613 | 2020-09-24 |
| 1467068197 | Avm Compounding Pharmacy LLC | Pharmacy | 501 S Lincoln Ave Ste 203, Clearwater, FL 33756-5945 | 2020-09-18 |
| 1376151423 | 1st America Infusion Services LLC | Pharmacy | 639 N Highway 231, Panama City, FL 32405-4704 | 2020-07-15 |
| 1114540416 | Ramzy's Mediterranean Cafe Pharmacy, Inc | Pharmacy | 8740 N Kendall Dr Ste 106, Miami, FL 33176-2209 | 2020-05-20 |
| 1023643707 | Ops International Incorporated | Pharmacy | 4600 L B Mcleod Rd, Orlando, FL 32811-6454 | 2020-03-03 |
| 1639709454 | Medstop | Pharmacy | 2095 W Fairbanks Ave, Winter Park, FL 32789-4543 | 2020-01-21 |
| 1922644491 | My Prescription Coach, LLC | Pharmacy | 5008 W. Linebaugh Avenue, Suites 33 &34, Tampa, FL 33624-5038 | 2019-11-20 |
| 1346709540 | Pharmacygo, Inc | Pharmacy | 20041 S Tamiami Trl Ste 13, Estero, FL 33928-2228 | 2019-03-18 |
| 1124596150 | Rx for All Pharmacy Corp | Pharmacy | 1325 Nw 93rd Ct Ste B109, Doral, FL 33172-2835 | 2018-11-07 |
| 1710472451 | Caring Rx, LLC | Pharmacy | 21002 S Ridgewood Ave, Suite 2, Edgewater, FL 32141 | 2018-06-26 |
| Find all providers with the same taxonomy | ||||
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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.