Active NPI
Accumed RX Inc
- Mail Order Pharmacy
- Tampa, FL
National Provider Identifier
1104967066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mail Order Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013313 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
National Provider Directory
National Provider DirectoryLocations
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.