Florida Drug of Tampa Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH1510 Issued in FL

Legal business name

FLORIDA DRUG OF TAMPA INC

Doing business as

Florida Drug Store

Practice address

2102 E 7TH Ave
Tampa, FL 33605-3904

Phone

(813) 248-3308

Fax

(813) 248-3468

NPI assigned

Feb 27, 2007

Last updated

Jul 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dennis Hattabaugh

Title

Pharmacist Manager

Phone

(813) 248-3308

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• FLORIDA DRUG STORE Doing business as

Locations

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1215063615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 E 7TH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336053904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 E 7TH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336053904",
            "telephone_number": "813-248-3308",
            "fax_number": "813-248-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA DRUG OF TAMPA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "HATTABAUGH",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PHARMACIST MANAGER",
        "authorized_official_telephone_number": "813-248-3308"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH1510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1022449",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1022449",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLORIDA DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Tampa, FL
• Providers in Tampa, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.