Jet Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH24178 Issued in FL

Legal business name

JET PHARMACY LLC

Doing business as

Jet Pharmacy

Practice address

2310 W Waters Ave
Ste J
Tampa, FL 33604-2764

Phone

(813) 933-3458

Fax

(813) 935-5163

NPI assigned

Aug 11, 2009

Last updated

Sep 15, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles SmithNPI 1659700581

Title

RPH

Phone

(813) 933-3458

Specialties & licenses 1

Addresses

Other names 1

• JET PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Smith

  • Pharmacist
  • Tampa, FL
  • NPI 1659700581
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1003048950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 W WATERS AVE",
            "address_2": "STE J",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042764",
            "telephone_number": "813-933-3458",
            "fax_number": "813-935-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 W WATERS AVE",
            "address_2": "STE J",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042764",
            "telephone_number": "813-933-3458",
            "fax_number": "813-935-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JET PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "813-933-3458"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JET PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Tampa, FL
• Providers in Tampa, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.