SOUTHEAST COMPOUNDING PHARMACY (NPI# 1992132377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992132377 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST COMPOUNDING PHARMACY |
| Practice Address |
3906 Cragmont Dr Tampa FL 33619 |
| Practice Telephone | 8136447700 |
| Practice Fax Number | 8136447067 |
| Mailing Telephone | 8136447700 |
| Mailing Fax Number | 8136447067 |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2013-10-01 |
| Authorized Official Name | DR. MICHAEL GORDON SHAFOR (PHARMACY MANAGER) |
| Authorized Official Telephone | 8136447700 |
| Authorized Official Credential | PHARM.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
PH27068 | FL | Suppliers |
| Street Address |
3906 CRAGMONT DR |
| City | TAMPA |
| State | FL |
| Zip Code | 33619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396297735 | Rasesh Patel | Pharmacist | 3906 Cragmont Dr, Tampa, FL 33619-8305 | 2016-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740706787 | Nuevo Amanecer Tampa, LLC | Assisted Living Facility | 7405 Aripeka Dr, Tampa, FL 33619 | 2017-08-22 |
| 1144742396 | Florida Family Primary Care Centers of Tampa, LLC | Pediatrics | 7444 Palm River Dr, Tampa, FL 33619 | 2017-07-10 |
| 1750817110 | Ajaa Love Care Services | Home Health | 8905 Tidewater Trail, Tampa, FL 33619 | 2017-05-04 |
| 1073064127 | Tampa General Medical Group Inc | Internal Medicine | 10740 Palm River Road, Ste 360, Tampa, FL 33619 | 2016-10-24 |
| 1598116741 | Austin Chase | Chiropractor | 10081 E Adamo Dr, Tampa, FL 33619 | 2016-06-29 |
| 1841667003 | Healthworks Med Group of Florida Pa | General Practice | 9527 Delaney Creek Blvd, Tampa, FL 33619 | 2015-08-24 |
| 1962883371 | A Plus Alliance Home Care Agency, LLC | Home Health | 1503 South Hwy 301 Suite 13, Tampa, FL 33619 | 2015-06-11 |
| 1285026377 | Fatty Ademola Aderoju | Pharmacist | 5701 Hillsborough Ave, Tampa, FL 33619 | 2015-02-26 |
| 1942692504 | Henry Fate Corporation | Home Health | 9325 Bay Plaza Blvd, Suite 205, Tampa, FL 33619 | 2015-02-19 |
| 1598189938 | Willie Ruth Miller | Custodial Care Facility | 4812 S. 86th St, Tampa, FL 33619 | 2014-02-05 |
| Find all providers in zip 33619 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922644491 | My Prescription Coach, LLC | Pharmacy | 5008 W. Linebaugh Avenue, Suites 33 &34, Tampa, FL 33624-5038 | 2019-11-20 |
| 1487993788 | St Joseph Pharmacy LLC | Pharmacy | 7933 N Armenia Ave, Tampa, FL 33604-3830 | 2013-02-06 |
| 1134488661 | Lambright Pharmacy, LLC | Pharmacy | 4202 W Waters Ave Ste 2, Tampa, FL 33614-1972 | 2012-05-03 |
| 1649584434 | City Care Services Inc | Pharmacy | 5557 S 78th St, Tampa, FL 33619-7306 | 2010-08-04 |
| 1396067799 | Wecare Pharmacy LLC | Pharmacy | 7830 Gunn Hwy # A, Tampa, FL 33626-1612 | 2010-02-25 |
| 1487843678 | Pharmacy Corporation of America | Pharmacy | 1228 Tech Blvd, Tampa, FL 33619-7832 | 2007-10-24 |
| 1871713255 | Pharmaceutical Specialties, Inc. | Pharmacy | 4330 S Manhattan Ave, Tampa, FL 33611-1304 | 2007-04-26 |
| 1265554562 | Rs Compounding LLC | Pharmacy | 12617 Race Track Rd, Tampa, FL 33626-1331 | 2007-04-06 |
| 1093354797 | Dan's Pharmacy Inc Dba Carrollwood Compounding Center | Pharmacy | 11775 N Dale Mabry Hwy, Tampa, FL 33618-3503 | 2019-12-27 |
| 1891103156 | Coast Quality Pharmacy LLC | Pharmacy | 5710 Hoover Blvd, Tampa, FL 33634-5339 | 2014-07-30 |
| 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.