Organization Active NPI

Tori Inc

Doing business as Lakeland Pharmacy

  • Pharmacy
  • Tampa, FL
National Provider Identifier
1205029279
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH22722 Issued in FL
Legal business name
TORI INC
Doing business as
Lakeland Pharmacy
Practice address
3405 S Dale Mabry Hwy Ste D
Tampa, FL 33629-8601
Phone
(813) 839-2193
Fax
(813) 839-2196
NPI assigned
Aug 23, 2007
Last updated
Apr 7, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
TORI INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Authorized official

Name
Ezekiel M OnyebuekeNPI 1205461605
Title
Pharmacist
Phone
(813) 839-2193

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH22722 FL Primary

Addresses

Primary practice location

3405 S Dale Mabry Hwy Ste D
Tampa, FL 33629-8601

Mailing address

3405 S Dale Mabry Hwy Ste D
Tampa, FL 33629-8601
Phone (813) 839-2193

Other identifiers 1

IdentifierTypeStateIssuer
032081100MedicaidFL

Other names 1

  • LAKELAND PHARMACY Doing business as

National Provider Directory

National Provider Directory
Part of
Tori Inc

Locations

2614 Lakeland Hills Blvd
Ste 4
Lakeland, FL 33805
Phone (813) 610-5232

3405 S Dale Mabry Hwy
Ste D
Tampa, FL 33629
Phone (813) 839-2193

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1205029279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 S DALE MABRY HWY STE D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336298601",
            "telephone_number": "813-839-2193",
            "fax_number": "813-839-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 S DALE MABRY HWY STE D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336298601",
            "telephone_number": "813-839-2193",
            "fax_number": "813-839-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TORI INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TORI INC",
        "enumeration_date": "2007-08-23",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "ONYEBUEKE",
        "authorized_official_first_name": "EZEKIEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "813-839-2193"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH22722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032081100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKELAND PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LAKELAND 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 Apr 7, 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.