TFHC PHARMACY # 11 (NPI# 1962724807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962724807 |
| Entity Type | Organization |
| Organization Name | TFHC PHARMACY # 11 |
| Practice Address |
7814 N Dale Mabry Hwy Tampa FL 33614-3220 |
| Mailing Address |
Po Box 82969 Tampa FL 33682-2969 |
| Practice Telephone | 8138660930 |
| Practice Fax Number | 8138660929 |
| Mailing Telephone | 8138660930 |
| Mailing Fax Number | 8138660930 |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2010-05-14 |
| Authorized Official Name | CHARLES R. BOTTOMS (CEO) |
| Authorized Official Telephone | 8138660930 |
| Is Organization Subpart | Y |
| Parent Organization Name | TAMPA FAMILY HEALTH CENTERS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Street Address |
7814 N DALE MABRY HWY |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023065315 | Mario Eduardo Polanco | Dentist | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2006-05-30 |
| 1972125482 | Laura Davis Walls | Registered Nurse | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2020-05-07 |
| 1225681398 | Adam Bastille | Nurse Practitioner | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2019-07-18 |
| 1033779590 | Jesus Santos Moreno | Nurse Practitioner | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2019-06-17 |
| 1982112926 | Michelle J Vice | Physician Assistant | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2018-01-11 |
| 1881123669 | Edda Marie Jimenez Quinones | Pharmacist | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2017-06-06 |
| 1508399601 | Pollyanna Sanchez-martinez Pitt | Family Medicine | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2017-04-05 |
| 1831639822 | Bethany Baker | Nurse Practitioner | 7814 N Dale Mabry Hwy, Tampa, FL 33614 | 2017-02-24 |
| 1124487996 | Erin Burgasser | Nurse Practitioner | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2016-02-22 |
| 1164880308 | Yordenys Collazo Eijo | Nurse Practitioner | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2016-02-03 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1881214096 | Goya Mehdi Enterprise LLC | Pharmacy | 5802 N Armenia Ave Ste 1, Tampa, FL 33603-1000 | 2020-04-17 |
| 1730714130 | Virgin Mary's Pharmacy | Pharmacy | 14606 N Dale Mabry, Tampa, FL 33618 | 2020-03-05 |
| 1407416894 | Benzer Fl 45 LLC | Pharmacy | 15415 N Florida Ave Ste 200, Tampa, FL 33613-1243 | 2019-06-18 |
| 1982262887 | Walgreen Co | Pharmacy | 1506 W Kennedy Blvd Ste A, Tampa, FL 33606-1648 | 2019-06-05 |
| 1326601261 | Weldone Pharmacy LLC | Pharmacy | 1739 E Hillsborough Ave, Tampa, FL 33610-8233 | 2019-04-16 |
| 1518425107 | Delivercarerx Pharmacy, LLC | Pharmacy | 6015 Benjamin Rd Ste 302, Tampa, FL 33634-5179 | 2019-03-04 |
| 1962969766 | Copts LLC | Pharmacy | 11216 W Hillsborough Ave, Tampa, FL 33635-9719 | 2019-02-27 |
| 1033683313 | Mills Pharmacy, LLC | Pharmacy | 320 W Fletcher Ave Ste 108, Tampa, FL 33612-3400 | 2019-01-19 |
| 1780158303 | Infinity Pharmacy and Associates Inc | Pharmacy | 7551 W Hillsborough Ave, Tampa, FL 33615-4103 | 2019-01-16 |
| 1013498070 | Potens Allergy LLC | Pharmacy | 8108 Old Hixon Rd Ste 107, Tampa, FL 33626-2303 | 2018-08-27 |
| 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.