NPIMap

Organization Active NPI

Idel Pharmacy, Inc

Doing business as Idel Pharmacy LTC

  • Long Term Care Pharmacy
  • Tampa, FL
National Provider Identifier
1023709540
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
IDEL PHARMACY, INC
Doing business as
Idel Pharmacy LTC
Practice address
3314 W Columbus Dr Ste a
Tampa, FL 33607-1801
Phone
(813) 877-6679
Fax
(813) 877-1692
NPI assigned
May 16, 2023
Organization subpart
Yes
Parent organization
IDEL PHARMACY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Dr. Illan Suarez, PHARM.D., MBANPI 1063431302
Title
President
Phone
(813) 877-6679

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

3314 W Columbus Dr Ste a
Tampa, FL 33607-1801

Mailing address

3314 W Columbus Dr Ste a
Tampa, FL 33607-1801
Phone (813) 877-6679

Other names 1

  • Idel Pharmacy LTC Doing business as

National Provider Directory

National Provider Directory
Part of
Idel Pharmacy Inc

Networks

  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1023709540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 W COLUMBUS DR STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071801",
            "telephone_number": "813-877-6679",
            "fax_number": "813-877-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 W COLUMBUS DR STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071801",
            "telephone_number": "813-877-6679",
            "fax_number": "813-877-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEL PHARMACY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IDEL PHARMACY, INC",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "ILLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-877-6679",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D., MBA"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Idel Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.