Dan'S Pharmacy Inc Dba Carrollwood Compounding Center

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

DAN'S PHARMACY INC DBA CARROLLWOOD COMPOUNDING CENTER

Practice address

11775 N Dale Mabry Hwy
Tampa, FL 33618-3503

Phone

(813) 961-8798

Fax

(813) 961-9800

NPI assigned

Dec 27, 2019

Organization subpart

No

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

Authorized official

Name

Dan Dominic Fucarino, B PHARMNPI 1710056866

Title

President/ Owner

Phone

(813) 391-3009

Specialties & licenses 1

Addresses

Other names 1

• Carrollwood Compounding Center Doing business as

Practitioners 1

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

• Dan Dominic Fucarino, BPHARM

  • Pharmacist
  • Tampa, FL
  • NPI 1710056866
  NPD Authorized official

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577404800000",
    "number": "1093354797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11775 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336183503",
            "telephone_number": "813-961-8798",
            "fax_number": "813-961-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11775 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336183503",
            "telephone_number": "813-961-8798",
            "fax_number": "813-961-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN'S PHARMACY INC DBA CARROLLWOOD COMPOUNDING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-27",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A",
        "authorized_official_last_name": "FUCARINO",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "DOMINIC",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "813-391-3009",
        "authorized_official_credential": "B PHARM"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carrollwood Compounding Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vikalpa Maruti Dammavalam, DO
• Anne Helen Dammers, RN
• Julia Jiang Damon, DNP
• Hamidah Damulira
• Dan Eugene Durrieu PA
• Dana Acupuncture Clinic of Tampa
• Dana Lane
• Dana M Coberly, MD PA
• Dana Medical Center Inc
• Deepa Danan, MD

• Compounding Pharmacy in Tampa, FL
• Providers in Tampa, FL by specialty
• Compounding Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.