WEST ROCK COMMUNITY PHARMACY, LLC (NPI# 1073911483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073911483 |
| Entity Type | Organization |
| Organization Name | WEST ROCK COMMUNITY PHARMACY, LLC |
| Practice Address |
11880 28th St N Suite 100 St Petersburg FL 33716-1824 |
| Mailing Address |
11711 Hermitage Rd Suite 2 Little Rock AR 72211-3718 |
| Practice Telephone | 7273028135 |
| Practice Fax Number | 7278006924 |
| Mailing Telephone | 5012213100 |
| Mailing Fax Number | 5019071053 |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-17 |
| Authorized Official Name | LAURA HERNANDEZ (PHARMACY SPECIALIST COORDINATOR) |
| Authorized Official Telephone | 7273028135 |
| Authorized Official Credential | R.CPHT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
AR20757 | AR | Suppliers |
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| Street Address |
11880 28TH ST N SUITE 100 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33716-1824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386635126 | Infuserve America, Inc | Pharmacy | 11880 28th St N, Suite 200/ 2nd Floor, St Petersburg, FL 33716-1824 | 2005-11-01 |
| 1730256850 | David W Kazarian | Pharmacist | 11880 28th St N, St Petersburg, FL 33716-1824 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699205815 | Orthopaedic Medical Group of Tampa Bay Pa | Clinic/Center | 10033 Mlk Jr St N Fl 3, St Petersburg, FL 33716 | 2017-06-20 |
| 1316471113 | Sara Alexandra Maltese | Dentist | 871 Ibis Walk Pl N Unit 7201, St Petersburg, FL 33716 | 2017-04-18 |
| 1508229972 | Florida Cardiac Therapeutics, Inc | Internal Medicine | 10033 Doctor M.l.k. Jr St N, Suite 302, St Petersburg, FL 33716 | 2016-04-01 |
| 1720440902 | Valorie Baker | Day Training, Developmentally Disabled Services | 115 112th Ave Ne Apt 627, St Petersburg, FL 33716 | 2016-03-25 |
| 1346611142 | Theresa Bowen | Occupational Therapist | 810 S. Village Drive N, #103, St. Petersburg, FL 33716 | 2015-10-19 |
| 1356775423 | Paula J Smith | Massage Therapist | 400 Carillon Pkwy #130, Mountain Tree Massage, LLC, St. Petersburg, FL 33716 | 2013-08-26 |
| 1699118596 | Kellie L Kintz | Social Worker | 540 Carillon Parkway, Apartment 3026, The Promenade At Carillon, St. Petersburg, FL 33716 | 2013-04-10 |
| 1427398288 | St. Petersburg General Hospital | General Acute Care Hospital | 11850 Doctor Martin Luther King Jr. St. North, Apt 22-312, St Petersburg, FL 33716 | 2013-02-15 |
| 1952657314 | Trudy Anna Glover | Occupational Therapy Assistant | 11850 9th Street North, Apt 20208, St Petersburg, FL 33716 | 2012-08-02 |
| 1275834129 | Prison Rehabilitative Industries & Diversified Enterprises | Dental Laboratory | 12425 28th St. N., Suite 300, St. Petersburg, FL 33716 | 2010-11-09 |
| Find all providers in zip 33716 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437438082 | Publix Super Markets Inc | Pharmacy | 1700 34th St N, St Petersburg, FL 33713-3602 | 2011-08-15 |
| 1306134952 | Urban Specialty Pharmacy LLC | Pharmacy | 1617 34th St S Ste A, St Petersburg, FL 33711-2855 | 2011-07-18 |
| 1558657718 | Amicitia Pharma LLC | Pharmacy | 4105 49th St N Ste B, St Petersburg, FL 33709-5711 | 2011-06-24 |
| 1154624856 | Apothecary Pharmacy LLC | Pharmacy | 4749 34th St S, St Petersburg, FL 33711-4507 | 2010-12-19 |
| 1518109685 | Umbra Inc | Pharmacy | 5415 4th St N, St Petersburg, FL 33703-2249 | 2009-04-03 |
| 1205975257 | Curant Health Florida LLC | Pharmacy | 11001 Roosevelt Blvd N Ste 1400, St Petersburg, FL 33716-2338 | 2007-02-06 |
| 1972663102 | Optumcare Florida LLC | Pharmacy | 7601 9th St N, Ste C 1, St Petersburg, FL 33702-5211 | 2006-12-11 |
| 1457382574 | K Mart Corp | Pharmacy | 2900 34th St N, St Petersburg, FL 33713-3623 | 2006-07-06 |
| 1487685590 | K Mart Corp | Pharmacy | 3951 34th St S, St Petersburg, FL 33711-4360 | 2006-07-06 |
| 1659318087 | Albertsons LLC | Pharmacy | 3900 66th St N, St Petersburg, FL 33709-4912 | 2006-06-02 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33716 |
Please comment or provide details below to improve the information on WEST ROCK COMMUNITY PHARMACY, LLC.
| 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.