MY PHARMACY OF BRANDON, LLC (NPI# 1588161871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588161871 |
| Entity Type | Organization |
| Organization Name | MY PHARMACY OF BRANDON, LLC |
| Other Organization Name | MY PHARMACY OF BRANDON, LLC |
| Practice Address |
1420 W Waters Ave Ste 101 Tampa FL 33604-2830 |
| Practice Telephone | 8138678503 |
| Practice Fax Number | 8133921745 |
| Mailing Telephone | 8138678503 |
| Mailing Fax Number | 8133921745 |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | DR. PREETI PHILIP (MANAGING MEMBER) |
| Authorized Official Telephone | 8138678503 |
| Authorized Official Credential | PHARM.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| MY PHARMACY | Doing Business As Name - Organization |
| MY PHARMACY OF BRANDON, LLC | Doing Business As Name - Organization |
| Street Address |
1420 W WATERS AVE STE 101 |
| City | TAMPA |
| State | FL |
| Zip Code | 33604-2830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114578838 | Gail Hartmaier | Technician | 3805 East Crenshaw Street, Tampa, FL 33604 | 2019-09-24 |
| 1023662749 | Yohana Botero | Social Worker | 6620 North Nebraska Ave, Tampa, FL 33604 | 2019-07-31 |
| 1578065025 | Linda Mcclain | Counselor | 7207 North Nebraska Avenue, Tampa, FL 33604 | 2018-03-01 |
| 1851811178 | Rosa Ramirez-tineo | Counselor | 7207 N Nebraska Avenue, Tampa, FL 33604 | 2017-06-27 |
| 1225432651 | Anna Stouffer | Nurse Practitioner | 17 Davis Blvd., Suite 402, Tampa, FL 33604 | 2014-10-14 |
| 1982028601 | Yetey Enterprises Inc Dba Springswater Alf | Assisted Living Facility | 1411 E Waters Ave, Tampa, FL 33604 | 2014-02-17 |
| 1053734301 | Yetey Enterprises Inc | Assisted Living Facility | 8602 N 22nd St, Tampa, FL 33604 | 2014-01-22 |
| 1902232887 | Sierra Alicia Montgomery | Developmental Therapist | 300 E Sligh Ave, Tampa, FL 33604 | 2013-09-23 |
| 1639432305 | Carmen's Goodcare Alf, Corp. | Assisted Living Facility | 908 W Yukon St., Tampa, FL 33604 | 2012-06-19 |
| 1427328913 | Daniellas Alf LLC | Respite Care | 1910 W Fern St, Tampa, FL 33604 | 2011-12-30 |
| Find all providers in zip 33604 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on MY PHARMACY OF BRANDON, 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.