Organization Active NPI

Accumed RX Inc

  • Mail Order Pharmacy
  • Tampa, FL
National Provider Identifier
1104967066
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
Legal business name
ACCUMED RX INC
Practice address
3104 W Waters Ave
Ste 104
Tampa, FL 33614-2800
Phone
(813) 865-1325
Fax
(813) 932-7805
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Eling Betancourt, RPH
Title
Owner
Phone
(813) 601-3373

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH21402 FL
Community/Retail Pharmacy 3336C0003X
Mail Order Pharmacy 3336M0002X Primary

Addresses

Primary practice location

3104 W Waters Ave
Ste 104
Tampa, FL 33614-2800

Mailing address

3104 W Waters Ave
Ste 104
Tampa, FL 33614-2800

Other identifiers 1

IdentifierTypeStateIssuer
1013313OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory

Locations

3104 W Waters Ave
Ste 104
Tampa, FL 33614
Phone (813) 865-1325

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1104967066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 W WATERS AVE",
            "address_2": "STE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 W WATERS AVE",
            "address_2": "STE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142800",
            "telephone_number": "813-865-1325",
            "fax_number": "813-932-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCUMED RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BETANCOURT",
        "authorized_official_first_name": "ELING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-601-3373",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH21402",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1013313",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 11, 2025; 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.