Active NPI
Caremax Medical Resources, LLC
- Pharmacy
- Tampa, FL
National Provider Identifier
1124032198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PH19929
- Legal business name
- CAREMAX MEDICAL RESOURCES, LLC
- Practice address
- 5910 Benjamin Center Dr
Suite 110
Tampa, FL 33634-5240 - Phone
- (813) 887-4100
- NPI assigned
- Jul 28, 2006
- 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
- Bryant Moshang
- Title
- Controller
- Phone
- (410) 910-1578
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1312764 | FL | |
| Pharmacy | 333600000X | PH19929 | FL | Primary |
| Pharmacy | 333600000X | 112679 | AL | |
| Pharmacy | 333600000X | 5590 | CO | |
| Pharmacy | 333600000X | 721 | CT | |
| Pharmacy | 333600000X | A9-0000676 | DE | |
| Pharmacy | 333600000X | 1964MS | ID | |
| Pharmacy | 333600000X | 64000732A | IN | |
| Pharmacy | 333600000X | 3604 | IA | |
| Pharmacy | 333600000X | 22-02344 | KS | |
| Pharmacy | 333600000X | FL1144 | KY | |
| Pharmacy | 333600000X | P04376 | MD | |
| Pharmacy | 333600000X | 5301008460 | MI | |
| Pharmacy | 333600000X | IL | ||
| Pharmacy | 333600000X | ME |
Addresses
Primary practice location
5910 Benjamin Center Dr
Suite 110
Tampa, FL 33634-5240
Mailing address
13111 Collection Center Dr
Chicago, IL 60693-0131
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003348 | Other | FL | NCPDP |
| 580103 | Medicaid | TX | |
| 131252 | Medicaid | AZ |
National Provider Directory
National Provider Directory- Tax ID family
- Caremax Medical Resources LLC
Other organizations with this tax ID 10
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Pompano Beach, FL
- NPI 1982618948
-
- Durable Medical Equipment & Medical Supplies
- Jacksonville, FL
- NPI 1538173505
-
- Durable Medical Equipment & Medical Supplies
- Miami, FL
- NPI 1679588412
-
- Durable Medical Equipment & Medical Supplies
- Orlando, FL
- NPI 1750395711
-
- Durable Medical Equipment & Medical Supplies
- Des Plaines, IL
- NPI 1134152499
-
- Pharmacy
- Centennial, CO
- NPI 1235338211
-
- Durable Medical Equipment & Medical Supplies
- Durham, NC
- NPI 1336332709
-
- Durable Medical Equipment & Medical Supplies
- Centennial, CO
- NPI 1649284621
-
- Durable Medical Equipment & Medical Supplies
- Houston, TX
- NPI 1679587653
-
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
- NPI 1710991641
Locations
5910 Benjamin Center Dr
Ste 110
Tampa, FL 33634
Phone (800) 889-4909
13111 Collection Ctr Dr
Chicago, IL 60693
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Tampa, FL
- NPI 1720100332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1124032198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13111 COLLECTION CENTER DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606930131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5910 BENJAMIN CENTER DR",
"address_2": "SUITE 110",
"city": "TAMPA",
"state": "FL",
"postal_code": "336345240",
"telephone_number": "813-887-4100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAREMAX MEDICAL RESOURCES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-28",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "MOSHANG",
"authorized_official_first_name": "BRYANT",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "410-910-1578"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": "1312764",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "FL",
"license": "PH19929",
"primary": true
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "AL",
"license": "112679",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CO",
"license": "5590",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CT",
"license": "721",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "DE",
"license": "A9-0000676",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "ID",
"license": "1964MS",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "IN",
"license": "64000732A",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "IA",
"license": "3604",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "KS",
"license": "22-02344",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "KY",
"license": "FL1144",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "MD",
"license": "P04376",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "MI",
"license": "5301008460",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "ME",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "1003348",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "580103",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131252",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
- Caremark, L.L.C.
- Caremark, L.L.C.
- Caremax Medical Centers of Central Florida, LLC
- Caremax Medical Centers of Central Florida, LLC
- Caremax Medical Centers of Central Florida, LLC
- Caremed Respiratory Services Inc.
- Caremedusa LLC
- Careplus Homecare Service, Inc.
- Careplus Homemaker Companion Services
- Careplus RX Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.