Organization Active NPI

Pureline Health LLC

  • Community/Retail Pharmacy
  • Seffner, FL
National Provider Identifier
1063167617
Registry record updated Feb 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PURELINE HEALTH LLC
Practice address
1103 Martin Luther King Blvd W
Seffner, FL 33584-4541
Phone
(813) 728-4443
NPI assigned
Feb 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2022

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

Authorized official

Name
Alfred C AbalihiNPI 1154995371
Title
President
Phone
(813) 728-4443

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
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1103 Martin Luther King Blvd W
Seffner, FL 33584-4541

Mailing address

1103 Martin Luther King Blvd W
Seffner, FL 33584-4541
Phone (813) 728-4443

Other names 1

  • PURELINE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1103 Martin Luther King Blvd W
Seffner, FL 33584
Phone (813) 728-4443

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": "1644624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644624000000",
    "number": "1063167617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 MARTIN LUTHER KING BLVD W",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335844541",
            "telephone_number": "813-728-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 MARTIN LUTHER KING BLVD W",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335844541",
            "telephone_number": "813-728-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURELINE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-12",
        "last_updated": "2022-02-12",
        "certification_date": "2022-02-12",
        "status": "A",
        "authorized_official_last_name": "ABALIHI",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-728-4443"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PURELINE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seffner, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2022; 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.