Active NPI
Polaris Pharmacy Services of Tampa, LLC
- Long Term Care Pharmacy
- Tampa, FL
National Provider Identifier
1154554111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PH30415
- Legal business name
- POLARIS PHARMACY SERVICES OF TAMPA, LLC
- Practice address
- 5908 Hampton Oaks Pkwy Ste N
Tampa, FL 33610-9505 - Phone
- (877) 891-0005
- Fax
- (877) 891-0006
- NPI assigned
- Aug 25, 2009
- 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
- Regina Hunt
- Title
- Corporate Director of Compliance, C
- Phone
- (800) 589-9747
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | PH30415 | FL | Primary |
Addresses
Primary practice location
5908 Hampton Oaks Pkwy Ste N
Tampa, FL 33610-9505
Mailing address
2900 NW 60TH St
Ft Lauderdale, FL 33309-1774
Phone (954) 919-1818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1048152 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Prime Pharmacy East
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170925000054 | FL | DME Supplier - Pharmacy | 6305110792 | Practice locations: Tampa, FL |
| O20201118002866 | FL | Part B Supplier - Pharmacy | 6305110792 | Practice locations: Tampa, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Polaris Pharmacy Services of Tampa, | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|External Infusion Pumps and/or Supplies|Insulin Infusion Pumps and/or Supplies|Enteral Nutrients|E… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
2427 Porter Lake Dr
Ste 109
Sarasota, FL 34240
Phone (941) 378-2607
5908 Hampton Oaks Pkwy
Tampa, FL 33610
5908 Hampton Oaks Pkwy
Ste N
Tampa, FL 33610
Phone (877) 891-0005
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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
- Cherry Hill, NJ
- NPI 1104158773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771459200000",
"number": "1154554111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 NW 60TH ST",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333091774",
"telephone_number": "954-919-1818",
"fax_number": "954-923-9261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5908 HAMPTON OAKS PKWY STE N",
"city": "TAMPA",
"state": "FL",
"postal_code": "336109505",
"telephone_number": "877-891-0005",
"fax_number": "877-891-0006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POLARIS PHARMACY SERVICES OF TAMPA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-25",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A",
"authorized_official_last_name": "HUNT",
"authorized_official_first_name": "REGINA",
"authorized_official_title_or_position": "CORPORATE DIRECTOR OF COMPLIANCE, C",
"authorized_official_telephone_number": "800-589-9747"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "FL",
"license": "PH30415",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "1048152",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Prime Pharmacy East",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.