CAPRICORN HEALTHCARE SERVICES LLC (NPI# 1932420247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932420247 |
| Entity Type | Organization |
| Organization Name | CAPRICORN HEALTHCARE SERVICES LLC |
| Other Organization Name | HILLSBORO SPECIALTY PHARMACY, BLOOD PRESSURE AND DIABETIC CE |
| Practice Address |
4505 E Hillsborough Ave Ste D&e Suite D & E Tampa FL 33610-5200 |
| Practice Telephone | 8136288400 |
| Practice Fax Number | 8136288484 |
| Mailing Telephone | 8136288400 |
| Mailing Fax Number | 8136288484 |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2017-04-17 |
| Authorized Official Name | ADENIKE NIKI GANSALLO (PRESIDENT) |
| Authorized Official Telephone | 8136288400 |
| Authorized Official Credential | BSC PHARMACY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH24697 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2125531 | 01 | |
| FL | 002675800 | 05 |
| Other Name | Type Code |
|---|---|
| HILLSBORO SPECIALTY PHARMACY, BLOOD PRESSURE AND DIABETIC CE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497264642 | Capricorn Healthcare Services LLC | Nursing Care | 4505 E Hillsborough Ave Ste E, Tampa, FL 33610-5200 | 2017-09-20 |
| Street Address |
4505 E HILLSBOROUGH AVE STE D&E SUITE D & E |
| City | TAMPA |
| State | FL |
| Zip Code | 33610-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124503347 | Vincent Adeyanju | Licensed Practical Nurse | 4505 E Hillsborough Ave Ste D&e, Tampa, FL 33610-5200 | 2018-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273161 | Mayra Iris Pesante Lopez | Behavior Technician | 10150 Highlands Manor Drive Suite 200, Tampa, FL 33610 | 2019-09-11 |
| 1902464381 | Ruth Hosen Milfort | Case Manager/Care Coordinator | 5707 N. 22nd Street, Tampa, FL 33610 | 2019-05-31 |
| 1265914626 | Universal Transportation Management Inc | Non-emergency Medical Transport (VAN) | 4108 N 22nd Street, Tampa, FL 33610 | 2018-09-02 |
| 1346759115 | Speedway Plus 2 Car Care Center LLCc | Residential Treatment Facility, Physical Disabilities | 8007 Glenoak Rd., Tampa, FL 33610 | 2017-09-25 |
| 1245757707 | Duy Dang | Behavioral Analyst | 4402 Claymore Dr Unit 203, Tampa, FL 33610 | 2017-08-25 |
| 1144745043 | Jonequa Baker | Home Health Aide | 709 North Castle Court, Tampa, FL 33610 | 2017-08-11 |
| 1619401338 | Dedicated Senior Medical Center East Tampa, LLC. | Non-Pharmacy Dispensing Site | 3128 East Hillsborough Avenue, Dedicated Senior Medical Center East Tampa, LLC., Tampa, FL 33610 | 2017-04-19 |
| 1669917423 | Olivia Anderson | Counselor | 10150 Highland Manor Dr Ste 200#108, Tampa, FL 33610 | 2017-01-03 |
| 1952779050 | Tampa Family Health Centers, Inc | Clinic/Center | 3100 E. Fletcher Avenue, Tampa, FL 33610 | 2015-09-04 |
| 1215303821 | Morissa Kidd | Technician, Other | 8062 Deerwood Circle, Tampa, FL 33610 | 2015-08-18 |
| Find all providers in zip 33610 | ||||
| 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 |
|---|---|---|---|---|
| 1881214096 | Goya Mehdi Enterprise LLC | Pharmacy | 5802 N Armenia Ave Ste 1, Tampa, FL 33603-1000 | 2020-04-17 |
| 1730714130 | Virgin Mary's Pharmacy | Pharmacy | 14606 N Dale Mabry, Tampa, FL 33618 | 2020-03-05 |
| 1407416894 | Benzer Fl 45 LLC | Pharmacy | 15415 N Florida Ave Ste 200, Tampa, FL 33613-1243 | 2019-06-18 |
| 1982262887 | Walgreen Co | Pharmacy | 1506 W Kennedy Blvd Ste A, Tampa, FL 33606-1648 | 2019-06-05 |
| 1326601261 | Weldone Pharmacy LLC | Pharmacy | 1739 E Hillsborough Ave, Tampa, FL 33610-8233 | 2019-04-16 |
| 1518425107 | Delivercarerx Pharmacy, LLC | Pharmacy | 6015 Benjamin Rd Ste 302, Tampa, FL 33634-5179 | 2019-03-04 |
| 1962969766 | Copts LLC | Pharmacy | 11216 W Hillsborough Ave, Tampa, FL 33635-9719 | 2019-02-27 |
| 1033683313 | Mills Pharmacy, LLC | Pharmacy | 320 W Fletcher Ave Ste 108, Tampa, FL 33612-3400 | 2019-01-19 |
| 1780158303 | Infinity Pharmacy and Associates Inc | Pharmacy | 7551 W Hillsborough Ave, Tampa, FL 33615-4103 | 2019-01-16 |
| 1013498070 | Potens Allergy LLC | Pharmacy | 8108 Old Hixon Rd Ste 107, Tampa, FL 33626-2303 | 2018-08-27 |
| Find all providers in TAMPA | ||||
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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.