West Coast Pharmacy II LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH22512 Issued in FL

Legal business name

WEST COAST PHARMACY II LLC

Doing business as

Memorial Family Pharmacy

Practice address

3609 Henderson Blvd
Tampa, FL 33609-4501

Phone

(813) 874-0795

Fax

(813) 874-0851

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Rajin PatelNPI 1689897431

Title

Owner

Phone

(813) 784-3085

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Memorial Family Pharmacy Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rajin Patel, DMD

  • General Practice Dentistry
  • Tampa, FL
  • NPI 1689897431
  NPD (past) Authorized official
• Kendra Ann Frassetto, PHARM.D.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Cincinnati, OH
  • NPI 1548347271
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1013058973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 HENDERSON BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094501",
            "telephone_number": "813-874-0795",
            "fax_number": "813-874-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 HENDERSON BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094501",
            "telephone_number": "813-874-0795",
            "fax_number": "813-874-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST PHARMACY II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAJIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-784-3085"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH22512",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2009550",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• West Coast Dental Partners
• West Coast Family Practice LLC
• West Coast Management Corp (Sears Carpet & Upholstery Care)
• West Coast Medical Management Inc
• West Coast Medicine of Tampa Bay, LLC
• West Coast Pharmacy II LLC (Memorial Family Pharmacy)
• West Coast Pharmacy LLC
• West Coast Pharmacy LLC
• West Coast Speech and Language Therapy Services, LLC
• West Coast Transportation Services Inc.

• 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 Jun 7, 2016; 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.