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VISTACARE PHARMACY SERVICES LLC NPI 1245622117


NPI Information

NPI: 1245622117
Provider Name: VISTACARE PHARMACY SERVICES LLC

Doing Business As: VISTACARE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 10D2209334

Address:
1441 E FLETCHER AVE STE 113
TAMPA, FL
ZIP 33612
Phone: (813) 444-4410
Get Directions

VISTACARE PHARMACY SERVICES LLC is a community/retail pharmacy pharmacy in Tampa, FL. The provider is 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. VISTACARE PHARMACY SERVICES LLC NPI is 1245622117. The provider is registered as an organization entity type.
The provider Is Doing Business As Vistacare Pharmacy.

The provider's business location address is:

1441 E FLETCHER AVE STE 113
TAMPA, FL
ZIP 33612-670
Phone: (813) 444-4410
Fax: (813) 422-7946

The provider's authorized official is Nazir Hassan .
The authorized official title is Authorized Agent and has the following contact phone number (813) 444-4410.

The CLIA number assigned to this NPI record is 10D2209334 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/2/2015 and was last updated on 6/8/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPH26923FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12150546OTHERPK
2014446700MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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