Active NPI
Cumberland Pharmacy LLC
Doing business as Axcess Pharmacy
- Pharmacy
- Tampa, FL
National Provider Identifier
1073813309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- CUMBERLAND PHARMACY LLC
- Doing business as
- Axcess Pharmacy
- Practice address
- 1047 W Busch Blvd
Tampa, FL 33612-7703 - Phone
- (813) 991-7233
- Fax
- (813) 991-7255
- NPI assigned
- Nov 3, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Osaneme Chuka Okaro, PHARMD
- Title
- Pharmacist/Owner/Authorized Officer
- Phone
- (850) 273-1344
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X | PH24780 | FL |
Addresses
Primary practice location
1047 W Busch Blvd
Tampa, FL 33612-7703
Mailing address
1047 W Busch Blvd
Tampa, FL 33612-7703
Phone (813) 991-7233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010831300 | Medicaid | FL |
Other names 1
- AXCESS PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220121002295 | FL | Part B Supplier - Pharmacy | 9335531409 | Practice locations: Tampa, FL |
National Provider Directory
National Provider DirectoryLocations
1047 W Busch Blvd
Tampa, FL 33612
Phone (813) 991-7233
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Practitioners & affiliated clinicians
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.
-
- Pharmacist
- Tampa, FL
- NPI 1598199192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614556800000",
"number": "1073813309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1047 W BUSCH BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336127703",
"telephone_number": "813-991-7233",
"fax_number": "888-556-8496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1047 W BUSCH BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336127703",
"telephone_number": "813-991-7233",
"fax_number": "813-991-7255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUMBERLAND PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-03",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A",
"authorized_official_last_name": "OKARO",
"authorized_official_first_name": "OSANEME",
"authorized_official_middle_name": "CHUKA",
"authorized_official_title_or_position": "PHARMACIST/OWNER/AUTHORIZED OFFICER",
"authorized_official_telephone_number": "850-273-1344",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH24780",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010831300",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AXCESS PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "AXCESS PHARMACY",
"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 Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.