ST MARY PHARMACY LLC (NPI# 1740423573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740423573 |
Entity Type | Organization |
Organization Name | ST MARY PHARMACY LLC |
Other Organization Name | ST. MARY PHARMACY |
Practice Address |
1290 W Bay Dr Largo FL 33770-2204 |
Practice Telephone | 7275851333 |
Practice Fax Number | 7275851344 |
Mailing Telephone | 7275851333 |
Mailing Fax Number | 7275851344 |
Enumeration Date | 2009-04-09 |
Last Update Date | 2017-02-16 |
Authorized Official Name | JOHN SHAKER (PHARMACIST (PARTNER)) |
Authorized Official Telephone | 7276378174 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
N | 333600000X | Pharmacy | Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH23976 | FL | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2119775 | 01 | |
FL | 001226300 | 05 |
Other Name | Type Code |
---|---|
ST. MARY PHARMACY | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417235953 | St Mary Pharmacy LLC | Pharmacy | 1124 7th St, Morgan City, LA 70380-1951 | 2011-08-02 |
Street Address |
1290 W BAY DR |
City | LARGO |
State | FL |
Zip Code | 33770-2204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770808727 | Effat Aziz Estafanous | Pharmacist | 1290 W Bay Dr, Largo, FL 33770-2204 | 2010-04-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467005041 | Chelsey Lyn Shepos | Optometrist | 1030 West Bay Dr, Suite 200, Largo, FL 33770 | 2019-07-22 |
1407353626 | Michael E Ibrahim | Pharmacist | 1290 West Bay Drive, Largo, FL 33770 | 2018-04-13 |
1518413384 | Payton Kuhlenbeck | Anesthesiology | 210 14th Street Sw, Largo, FL 33770 | 2016-08-31 |
1639536865 | Ryan Boice | Physical Therapy Assistant | 118 West Bay Drive, Suite 111, Largo, FL 33770 | 2016-01-19 |
1508238858 | Alignment Healthcare Florida LLC | Clinic/Center | 1301 2nd Ave., Sw, Largo, FL 33770 | 2015-10-27 |
1891161808 | Jessica Nicole Mcglone | Nurse Practitioner | 601 Rosery Rd Ne Apt 1502, Largo, FL 33770 | 2015-08-12 |
1033598602 | Demetria Anderson | Counselor | 1301 Seminole Blvd Ste 103, Largo, FL 33770 | 2015-05-28 |
1962881821 | Building Blocks Therapy, Pllc | Community/Behavioral Health | 1301 Seminole Blvd Building A Suite 103, Largo, FL 33770 | 2015-05-26 |
1457765968 | Summer Moon | Dermatology | 115 Highland Ave N, Largo, FL 33770 | 2014-06-12 |
1578982393 | Lauren Elizabeth Grandpre | Emergency Medicine | 201 14th St. Sw, Largo Medical Center Emergency Department, Largo, FL 33770 | 2014-04-09 |
Find all providers in zip 33770 |
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 |
---|---|---|---|---|
1396164588 | Darig Pharmacy | Pharmacy | 12702 Starkey Rd, Largo, FL 33773-1426 | 2014-04-15 |
1003995770 | Benson Pharmacy Inc | Pharmacy | 11380 66th St, Suite 138, Largo, FL 33773-5531 | 2006-11-03 |
1578661088 | Bayside Drugs Inc | Pharmacy | 12071 Indian Rocks Rd, Largo, FL 33774 | 2006-09-20 |
1033213913 | Holiday Cvs LLC | Pharmacy | 2390 E Bay Dr, Largo, FL 33771-2362 | 2006-09-12 |
1366546251 | Holiday Cvs LLC | Pharmacy | 7405 Starkey Rd, Largo, FL 33777-4344 | 2006-09-12 |
1629172598 | Holiday Cvs LLC | Pharmacy | 2390 Belcher Rd S, Largo, FL 33771-4010 | 2006-09-12 |
1184728081 | Holiday Cvs LLC | Pharmacy | 8905 Bryan Dairy Rd, Largo, FL 33777-1102 | 2006-09-12 |
1891700928 | Walgreen Co | Pharmacy | 14004 Walsingham Rd, Largo, FL 33774-3232 | 2006-07-29 |
1477944411 | Baycare Urgent Care, LLC | Pharmacy | 13670 Walsingham Rd, Largo, FL 33774-3532 | 2015-02-12 |
1407257470 | Empath Health Pharmaceuticals, LLC | Pharmacy | 11701 Belcher Rd S Ste 126, Largo, FL 33773-5117 | 2014-09-10 |
Find all providers in LARGO |
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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.