St Pete Compounding Pharmacy

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

ST PETE COMPOUNDING PHARMACY

Practice address

3434 13TH Ave N
St Petersburg, FL 33713-5424

Phone

(727) 209-1282

NPI assigned

Oct 29, 2012

Last updated

Oct 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benjamin Wayne Nundy, PHARMD

Title

Co-Owner/Pharmacist

Phone

(727) 209-1282

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1114271137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 13TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337135424",
            "telephone_number": "727-209-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 13TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337135424",
            "telephone_number": "727-209-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PETE COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "NUNDY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CO-OWNER/PHARMACIST",
        "authorized_official_telephone_number": "727-209-1282",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Joseph's Hospital
• Shirley St Juste, NCC, ED.S., M.ED.,
• St Marys Family Practice Center
• St Pete Behavioral Health Center Inc
• St Pete Care at Home LLC
• St Pete ENT LLC
• St Pete Optical Inc
• St Pete Spinal Care LLC (Stanley D Grimmel DC)
• St Petersburg Ambulatory Surgery Center LLC
• St Petersburg Arthritis Center PA

• Compounding Pharmacy in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Compounding Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.