KEN DRUGS INC (NPI# 1992712038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992712038 |
| Entity Type | Organization |
| Organization Name | KEN DRUGS INC |
| Other Organization Name | PINE HILLS DISCOUNT PHARMACY |
| Practice Address |
4730 N Habana Ave Suite 101 Tampa FL 33614-7163 |
| Mailing Address |
Po Box 15779 Tampa FL 33684-5779 |
| Practice Telephone | 8133480095 |
| Practice Fax Number | 8138726591 |
| Mailing Telephone | 8133480095 |
| Mailing Fax Number | 8138726591 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KENNETH O SHOBOLA (CEO) |
| Authorized Official Telephone | 8134265419 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
BK8211877 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 1098361 | 01 |
| Other Name | Type Code |
|---|---|
| Pine Hills Discount Pharmacy | Doing Business As Name - Organization |
| Street Address |
4730 N HABANA AVE SUITE 101 |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-7163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851359301 | Mauricio Orbegozo | Anesthesiology | 4730 N Habana Ave, Ste 300, Tampa, FL 33614-7163 | 2006-05-03 |
| 1619421765 | Florida Pain Relief Group Pllc | Nurse Practitioner | 4730 N Habana Ave, Ste 300, Tampa, FL 33614-7163 | 2016-08-06 |
| 1356895403 | Florida Pain Relief Group Pllc | Nurse Practitioner | 4730 N Habana Ave, Ste 300, Tampa, FL 33614-7163 | 2016-08-06 |
| 1518313808 | Cheri Bellenger | Nurse Practitioner | 4730 N Habana Ave, Suite 204, Tampa, FL 33614-7163 | 2016-05-05 |
| 1144687245 | Anesthesia Professional Group LLC | Nurse Anesthetist, Certified Registered | 4730 N Habana Ave, Suite 204, Tampa, FL 33614-7163 | 2016-01-20 |
| 1942671680 | Eric Allen Shelton | Physician Assistant | 4730 N Habana Ave, Ste 104, Tampa, FL 33614-7163 | 2015-10-07 |
| 1932581071 | Physician Partners of America Florida Medical Holdings LLC | Physical Medicine & Rehabilitation | 4730 N Habana Ave, Suite 204, Tampa, FL 33614-7163 | 2015-06-25 |
| 1487045407 | Doctors Imaging LLC | Clinic/Center | 4730 N Habana Ave, Suite 204, Tampa, FL 33614-7163 | 2015-02-12 |
| 1881082865 | Southeast Med Supplies LLC | Durable Medical Equipment & Medical Supplies | 4730 N Habana Ave, Suite 204, Tampa, FL 33614-7163 | 2014-12-29 |
| 1679970941 | Orthopaedic Specialists of Miami, Pllc | Orthopaedic Surgery | 4730 N Habana Ave, Suite 104, Tampa, FL 33614-7163 | 2014-12-02 |
| Find all providers in the same location | ||||
| 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 | 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] |
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| 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.