Individual provider Active NPI

Brad A Esposito, B.S. PHARMACY

  • Pharmacist
  • Tampa, FL
National Provider Identifier
1104997733
Registry record updated Jul 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS30522 Issued in FL
Practice address
2506 S Macdill Ave
Ste. a
Tampa, FL 33629-7261
Phone
(813) 839-8700
Fax
(813) 839-7575
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS30522 FL Primary

Addresses

Primary practice location

2506 S Macdill Ave
Ste. a
Tampa, FL 33629-7261

Mailing address

2506 S Macdill Ave
Ste. a
Tampa, FL 33629-7261
Phone (813) 839-8700

Other identifiers 1

IdentifierTypeStateIssuer
002127400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
PS30522FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Palma Ceia Health Mart Pharmacy Inc Current Accepting new patients

Locations

2506 S Macdill Ave
Ste A
Tampa, FL 33629
Phone (813) 402-8779

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499644800000",
    "number": "1104997733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 S MACDILL AVE",
            "address_2": "STE. A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336297261",
            "telephone_number": "813-839-8700",
            "fax_number": "813-839-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 S MACDILL AVE",
            "address_2": "STE. A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336297261",
            "telephone_number": "813-839-8700",
            "fax_number": "813-839-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPOSITO",
        "first_name": "BRAD",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "B.S. PHARMACY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2017-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS30522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002127400",
            "state": "FL"
        }
    ],
    "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 Jul 10, 2017; 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.