Active NPI
Trelles Memorial Clinic and Hospital Inc.
- Pharmacy
- Tampa, FL
National Provider Identifier
1184624843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PH11093
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1068558 | Other | FL | NCPDP |
Other names 1
- Trelles Association Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.