MEDICOR HEALTHCARE, INC (NPI# 1396185401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396185401 |
| Entity Type | Organization |
| Organization Name | MEDICOR HEALTHCARE, INC |
| Practice Address |
3403 W Waters Ave Suite A Tampa FL 33614-2713 |
| Practice Telephone | 8139308000 |
| Practice Fax Number | 8139308026 |
| Mailing Telephone | 8139308000 |
| Mailing Fax Number | 8139308026 |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2015-07-15 |
| Authorized Official Name | MANUEL DELGADO JR. (PRESIDENT) |
| Authorized Official Telephone | 8139308000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | PH26927 | FL | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225686900 | Medicor Healthcare, Inc | Durable Medical Equipment & Medical Supplies | 33853 Sr 54 Ste 101, Zephyrhills, FL 33543-9105 | 2019-08-27 |
| 1770931693 | Medicor Healthcare, Inc | Durable Medical Equipment & Medical Supplies | 15555 Tradesman, Suite 100, San Antonio, TX 78249-1322 | 2016-06-01 |
| 1942692348 | Medicor Healthcare, Inc | Durable Medical Equipment & Medical Supplies | 5015 Ga Highway 85, Forest Park, GA 30297-2431 | 2015-02-23 |
| 1821433376 | Medicor Healthcare, Inc | Durable Medical Equipment & Medical Supplies | 33853 State Road 54, Suite 101, Zephyrhills, FL 33543-9175 | 2013-05-09 |
| 1740697895 | Medicor Healthcare, Inc | Pharmacy | 3403 W Waters Ave, Tampa, FL 33614-2713 | 2014-07-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | MEDICOR HEALTHCARE, INC | 3403 W Waters Ave, Yampa, FL 33614 |
| Street Address |
3403 W WATERS AVE SUITE A |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-2713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598841579 | Medicor Homecare Inc | Durable Medical Equipment & Medical Supplies | 3403 W Waters Ave, Tampa, FL 33614-2765 | 2006-10-31 |
| 1508248543 | Medicor Homecare, Inc | Durable Medical Equipment & Medical Supplies | 3403 W Waters Ave, Tampa, FL 33614-2713 | 2015-06-26 |
| 1740697895 | Medicor Healthcare, Inc | Pharmacy | 3403 W Waters Ave, Tampa, FL 33614-2713 | 2014-07-21 |
| 1346560216 | Medicor Healthcare, Inc. | Home Health | 3403 W Waters Ave, Tampa, FL 33614-2713 | 2010-06-02 |
| 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 | 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 |
|---|---|---|---|---|
| 1437625357 | Carierx LLC | Pharmacy | 15511 N. Florida Avenue, Ste 601, Tampa, FL 33613 | 2018-10-18 |
| 1053804591 | Nagaindra Srivastav | Pharmacy | 17931 Cachet Isle Dr, Tampa, FL 33647-2703 | 2018-06-09 |
| 1902393556 | Perla C Beltran | Pharmacy | 3632 S Renellie Dr, Tampa, FL 33629-8350 | 2018-04-19 |
| 1215437694 | Tita Healthcare Inc. | Pharmacy | 12811 N Nebraska Ave Ste J, Tampa, FL 33612-4401 | 2018-02-13 |
| 1548789605 | Positiverx | Pharmacy | 1420 W Waters Ave # 1, Tampa, FL 33604-2830 | 2017-09-11 |
| 1346766482 | Genoa Healthcare, LLC | Pharmacy | 12512 Bruce B Downs Blvd Ste A142, Tampa, FL 33612-9209 | 2017-08-21 |
| 1093237000 | Shri Aarna Rx LLC | Pharmacy | 3134 E Hillsborough Ave, Tampa, FL 33610-4528 | 2017-07-11 |
| 1730618554 | Rightback LLC | Pharmacy | 6802 W Hillsborough Ave Ste 12, Tampa, FL 33634-5004 | 2017-06-06 |
| 1558817783 | Plamyra Pharmacy LLC | Pharmacy | 4817 E Busch Blvd, Tampa, FL 33617 | 2016-08-28 |
| 1336694926 | U & J Healthcare LLC | Pharmacy | 6308 N Florida Ave, Tampa, FL 33604-6628 | 2016-08-24 |
| 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.