SOUTHCARE PHARMACY INC (NPI# 1467755488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467755488 |
| Entity Type | Organization |
| Organization Name | SOUTHCARE PHARMACY INC |
| Other Organization Name | SOUTHCARE PHARMACY, INC. |
| Practice Address |
6499 38th Ave N Ste A1 St Petersburg FL 33710-1656 |
| Mailing Address |
106 Rock Quarry Rd Suite B Stockbridge GA 30281-3768 |
| Practice Telephone | 7273443902 |
| Practice Fax Number | 7273441356 |
| Mailing Telephone | 7704747693 |
| Mailing Fax Number | 7706928244 |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2019-01-24 |
| Authorized Official Name | CARLY BRAND (PRESIDENT) |
| Authorized Official Telephone | 7273443902 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH25055 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 5703093 | 01 |
| Other Name | Type Code |
|---|---|
| Southcare Pharmacy, Inc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336574375 | Southcare Pharmacy Inc | Pharmacy | 405 Se 1st Ave, Trenton, FL 32693-3219 | 2013-09-10 |
| Street Address |
6499 38TH AVE N STE A1 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33710-1656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033183447 | Comprehensive Consultant Services | Pharmacy | 6499 38th Ave N, Ste A1, St Petersburg, FL 33710-1656 | 2006-02-14 |
| 1902162290 | Keith Runyan, Md | Internal Medicine | 6499 38th Ave N, Suite C-1, St Petersburg, FL 33710-1656 | 2012-04-11 |
| 1841324837 | Mark James Ather | Pharmacist | 6499 38th Ave N, St Petersburg, FL 33710-1656 | 2007-03-14 |
| 1699801928 | Bruce Ungerleider | Family Medicine | 6499 38th Ave N, Suite B-1, St Petersburg, FL 33710-1656 | 2007-02-23 |
| 1588757520 | William Gross, Dpm, Pa | Podiatrist | 6499 38th Ave N, Suite C-2, St Petersburg, FL 33710-1656 | 2006-10-02 |
| 1104928282 | Jonathan Cedric Thornton | Dermatology | 6499 38th Ave N, Suite B-2, St Petersburg, FL 33710-1656 | 2006-09-01 |
| 1609896737 | William Gross | Podiatrist | 6499 38th Ave N, Suite C-2, St Petersburg, FL 33710-1656 | 2006-07-20 |
| 1013950401 | Bon-bone Medical Imaging, Inc. | Radiology | 6499 38th Ave N, Suite G2, St Petersburg, FL 33710-1656 | 2006-06-13 |
| 1487616017 | Anilkumar N Raiker | Internal Medicine | 6499 38th Ave N, Suite G1, St Petersburg, FL 33710-1656 | 2006-04-06 |
| 1730142373 | Anil N. Raiker, M.d., P.l.c. | Internal Medicine | 6499 38th Ave N, Suite G1, St Petersburg, FL 33710-1656 | 2006-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
| 1821566845 | Harish J. Patel, Md | Non-Pharmacy Dispensing Site | 6449 38th Avenue North, Suite B3, Saint Petersburg, FL 33710 | 2018-11-07 |
| 1659860708 | Lydia M Gomez | Physical Therapist | 6775 Crosswinds Dr. N, Saint Petersburg, FL 33710 | 2018-05-04 |
| 1619498169 | Tiffiny C Rudkin | Massage Therapist | 3039 - 49th St. N., St. Petersburg, FL 33710 | 2017-07-05 |
| 1114456480 | Roberto Macedo Dentistry LLC | Dentist | 7801 38th Ave North, St. Petersburg, FL 33710 | 2017-06-08 |
| 1528429495 | Frank Michael Massotto Jr. | Nurse Practitioner | 3251 66th St. North, St Petersburg, FL 33710 | 2016-03-18 |
| 1235522889 | Toby Weinman Assisted Living Residence | Assisted Living Facility | 240 59th St N, St Petersburg, FL 33710 | 2015-03-06 |
| 1821415951 | Ryan Troup | Physician Assistant | 603 - 7th St. S, Suite 360, Emergency Physicians of Saint Petersburg, Saint Petersburg, FL 33710 | 2014-03-26 |
| 1629491600 | Garett Janes Sears | Psychologist | 1913 Tyrone Blvd, St. Petersburg, FL 33710 | 2014-01-28 |
| 1912331943 | Solimar Jimenez Diaz | Obstetrics & Gynecology | 6450 38th Ave N Ste 200, St Petersburg, FL 33710 | 2013-08-27 |
| Find all providers in zip 33710 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528610367 | Comprehensive Hematology Oncology LLC | Pharmacy | 5000 Park St N Ste 1025, St Petersburg, FL 33709-2236 | 2019-07-11 |
| 1902465917 | Prathna Inc | Pharmacy | 7601 Dr Martin Luther King Jr St N Ste C, St Petersburg, FL 33702-5200 | 2019-06-12 |
| 1043603665 | Baycare Urgent Care, LLC | Pharmacy | 2331 4th St N, St Petersburg, FL 33704-2801 | 2015-03-06 |
| 1265820807 | Pearl Shah LLC | Pharmacy | 6399 38th Ave N Ste A5, St Petersburg, FL 33710-1651 | 2015-01-06 |
| 1639415839 | Pharmalabs LLC | Pharmacy | 10901 Roosevelt Blvd N, St Petersburg, FL 33716-2305 | 2012-12-17 |
| 1962792531 | Bayfront Hma Medical Center Pharmacy | Pharmacy | 701 6th St. S., St Petersburg, FL 33701-4891 | 2011-04-15 |
| 1699095604 | Trillion Enterprises Inc | Pharmacy | 4130 5th Ave N, St Petersburg, FL 33713-6304 | 2010-06-02 |
| 1285872937 | Pharmland | Pharmacy | 3426 13th Ave N, St Petersburg, FL 33713-5424 | 2009-02-02 |
| 1871749671 | Lurd's Inc | Pharmacy | 401 1st Ave N, St Petersburg, FL 33701-3802 | 2008-08-12 |
| 1003933664 | Tri-med Usa, Inc | Pharmacy | 5779 49th St N, #2, St Petersburg, FL 33709-2107 | 2007-03-26 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33710 |
Please comment or provide details below to improve the information on SOUTHCARE PHARMACY 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.