TAMPA FAMILY HEALTH CENTERS INC (NPI# 1417356148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417356148 |
| Entity Type | Organization |
| Organization Name | TAMPA FAMILY HEALTH CENTERS INC |
| Other Organization Name | TFHC # 30 - FLETCHER PHARMACY |
| Practice Address |
302 W Fletcher Ave Tampa FL 33612-3415 |
| Mailing Address |
Po Box 82969 Tampa FL 33682-2969 |
| Practice Telephone | 8133975305 |
| Practice Fax Number | 8138660929 |
| Mailing Telephone | 8138660930 |
| Mailing Fax Number | 8138660929 |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2016-11-17 |
| Authorized Official Name | MR. CHARLES BOTTOMS (PRESIDENT/CEO) |
| Authorized Official Telephone | 8138660930 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2147424 | 01 |
| Other Name | Type Code |
|---|---|
| TFHC # 30 - Fletcher Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245608348 | Tampa Family Health Centers Inc | Clinic/Center | 302 E. Fletcher Avenue, Tampa, FL 33612-3415 | 2015-09-04 |
| 1760881437 | Tampa Family Health Centers Inc | Pharmacy | 6216 E Sligh Avenue, Tampa, FL 33617 | 2014-08-19 |
| 1780978254 | Tampa Family Health Centers Inc | Clinic/Center | 9827 N. Sheldon Rd, Tampa, FL 33635-1051 | 2011-06-02 |
| 1578857140 | Tampa Family Health Centers Inc | Clinic/Center | 13601 N 22nd St, Tampa, FL 33613-4427 | 2011-06-01 |
| 1851562367 | Tampa Family Health Centers Inc | Clinic/Center | 6216 Sligh Ave, Tampa, FL 33617-9105 | 2008-03-13 |
| 1306988910 | Tampa Family Health Centers Inc | Pharmacist | 8213 W. Waters Ave, Tampa, FL 33615-1822 | 2007-02-12 |
| 1568503985 | Tampa Family Health Centers Inc | Pharmacy | 1502 E. Fowler Ave, Tampa, FL 33612 | 2007-02-09 |
| 1225179625 | Tampa Family Health Centers Inc | Pharmacist | 3402 N 22nd Street, Tampa, FL 33605-1214 | 2007-02-09 |
| 1396891016 | Tampa Family Health Centers Inc | Clinic/Center | 8213 W Waters Ave, Tampa, FL 33615-1822 | 2007-01-26 |
| 1477604486 | Tampa Family Health Centers Inc | Pharmacy | 2103 N. Rome Ave, Tampa, FL 33607 | 2007-01-16 |
| Street Address |
302 W FLETCHER AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-3415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942246210 | David Leopoldo Lopez | Pediatrics | 302 W Fletcher Ave, Tampa, FL 33612 | 2006-06-22 |
| 1285244541 | Ericka Danielle Gray | Dentist | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2020-08-03 |
| 1144863069 | America Delgado | Nurse Practitioner | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2019-10-23 |
| 1235780537 | Nicolle A Abelow | Nurse Practitioner | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2019-09-27 |
| 1336792464 | Diana Gonzalez | Nurse Practitioner | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2019-07-18 |
| 1851863872 | Tiara Ross | Nurse Practitioner | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2019-01-02 |
| 1861987752 | Simona Ivanov | Dentist | 302 W Fletcher Ave, Tampa, FL 33612 | 2018-06-25 |
| 1396237400 | Amanda Lape | Nurse Practitioner | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2018-06-04 |
| 1558866939 | Jeanie Marie Menendez | Nurse Practitioner | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2018-03-27 |
| 1649771239 | Lakeshia Wynn | Nurse Practitioner | 302 W Fletcher Ave, Tampa, FL 33612-3415 | 2018-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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 |
|---|---|---|---|---|
| 1760881437 | Tampa Family Health Centers Inc | Pharmacy | 6216 E Sligh Avenue, Tampa, FL 33617 | 2014-08-19 |
| 1568503985 | Tampa Family Health Centers Inc | Pharmacy | 1502 E. Fowler Ave, Tampa, FL 33612 | 2007-02-09 |
| 1477604486 | Tampa Family Health Centers Inc | Pharmacy | 2103 N. Rome Ave, Tampa, FL 33607 | 2007-01-16 |
| 1598847386 | Infusion Technologies Inc | Pharmacy | 5803 Breckenridge Pkwy, Ste.a, Tampa, FL 33610-4247 | 2006-10-20 |
| 1639643000 | Ready Care Pharmaacy, LLC | Pharmacy | 4150 N Armenia Ave Ste 102, Tampa, FL 33607-6448 | 2019-01-17 |
| 1013493253 | Up and Down LLC | Pharmacy | 722 W Dr Martin Luther King Jr Blvd, Tampa, FL 33603-3133 | 2018-07-11 |
| 1346758760 | Tampa Specialty Pharmacy LLC | Pharmacy | 5908 Breckenridge Pkwy, Tampa, FL 33610-4233 | 2018-01-19 |
| 1518406487 | A. Liliko'i Pharmacy | Pharmacy | 2232 University Square Mall, Tampa, FL 33612 | 2017-02-13 |
| 1750752929 | Tampa Family Health Centers, Inc | Pharmacy | 5707 N 22nd St, Tampa, FL 33610-4350 | 2015-10-14 |
| 1851718811 | Tampa Family Health Center Inc | Pharmacy | 5611 Sheldon Rd, Tampa, FL 33615-3532 | 2014-03-27 |
| Find all providers in TAMPA | ||||
Please comment or provide details below to improve the information on TAMPA FAMILY HEALTH CENTERS INC.
| 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.