MEDIPHARM-RX,INC.(SPECIAL CLOSED SYSTEM) (NPI# 1942374012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942374012 |
| Entity Type | Organization |
| Organization Name | MEDIPHARM-RX,INC.(SPECIAL CLOSED SYSTEM) |
| Practice Address |
4607 N Clark Ave Tampa FL 33614-7038 |
| Practice Telephone | 8138760881 |
| Practice Fax Number | 8138760883 |
| Mailing Telephone | 8138760881 |
| Mailing Fax Number | 8138760883 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DIANE L ELLIS (PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 8138760881 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PH21000 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA PHARMACY LICENSE | PH21000 | 01 |
| Street Address |
4607 N CLARK AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-7038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245275452 | Medipharm Rx Inc | Pharmacy | 4607 N Clark Ave, Tampa, FL 33614-7038 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1326656265 | Sky City Pharmacy LLC | Pharmacy | 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2020-07-16 |
| 1477186724 | Central Tampa Pharmacy LLC | Pharmacy | 5010 N 40th St Ste 201, Tampa, FL 33610-5202 | 2020-02-14 |
| 1184069924 | Ds Rx LLC | Pharmacy | 1548 E Fowler Ave, Tampa, FL 33612-5416 | 2013-05-07 |
| 1114235579 | Novopharm of Tampa LLC | Pharmacy | 5404 Hoover Blvd Suite 22, Tampa, FL 33634 | 2010-09-20 |
| 1932420247 | Capricorn Healthcare Services LLC | Pharmacy | 4505 E Hillsborough Ave Ste D&e, Suite D & E, Tampa, FL 33610-5200 | 2010-06-21 |
| 1154554111 | Polaris Pharmacy Services of Tampa, LLC | Pharmacy | 5908 Hampton Oaks Pkwy Ste N, Tampa, FL 33610-9505 | 2009-08-25 |
| 1932310430 | Nancy Kathleen Manz | Pharmacy | 10218 Douglas Oaks Circle, #203, Tampa, FL 33610 | 2007-05-25 |
| 1972615805 | Drm Enterprises | Pharmacy | 4625 N Nebraska Ave, Tampa, FL 33603-4013 | 2006-08-31 |
| 1538104732 | Omnicare Pharmacy of Florida, LLC | Pharmacy | 8603 Florida Mining Blvd, Tampa, FL 33634 | 2006-06-19 |
| 1457973646 | Copts LLC | Pharmacy | 11216 W Hillsborough Ave, Tampa, FL 33635-9719 | 2020-05-11 |
| 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.