Organization Active NPI

Trelles Memorial Clinic and Hospital Inc.

  • Pharmacy
  • Tampa, FL
National Provider Identifier
1184624843
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH11093 Issued in FL
Legal business name
TRELLES MEMORIAL CLINIC AND HOSPITAL INC.
Doing business as
Trelles Association Pharmacy
Practice address
3501 Riga Blvd
Suite 300B
Tampa, FL 33619-1333
Phone
(813) 662-1153
Fax
(813) 657-3475
NPI assigned
Jul 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James Cleaver Richardson, RPH
Title
Owner/President
Phone
(813) 662-1153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH11093 FL Primary

Addresses

Primary practice location

3501 Riga Blvd
Suite 300B
Tampa, FL 33619-1333

Mailing address

P.O. Box 89039-0400
Tampa, FL 33689-9039
Phone (813) 662-1153

Other identifiers 1

IdentifierTypeStateIssuer
1068558OtherFLNCPDP

Other names 1

  • Trelles Association Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

3501 Riga Blvd
Ste 300B
Tampa, FL 33619
Phone (813) 662-1153

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184624843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 89039-0400",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336899039",
            "telephone_number": "813-662-1153",
            "fax_number": "813-657-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 RIGA BLVD",
            "address_2": "SUITE 300B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336191333",
            "telephone_number": "813-662-1153",
            "fax_number": "813-657-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRELLES MEMORIAL CLINIC AND HOSPITAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CLEAVER",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "813-662-1153",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH11093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1068558",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trelles Association Pharmacy",
            "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 Aug 22, 2020; 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.