Active NPI
Saint Thomas Compounding LLC
- Specialty Pharmacy
- Palm Harbor, FL
National Provider Identifier
1235577644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- License
- PH30516
- Legal business name
- SAINT THOMAS COMPOUNDING LLC
- Practice address
- 36511 US Highway 19 N
Palm Harbor, FL 34684-1340 - Phone
- (727) 787-7400
- NPI assigned
- Jun 7, 2013
- 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
- Rania Shaker
- Title
- Pharmacy Manager
- Phone
- (718) 223-3467
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Specialty Pharmacy | 3336S0011X | PH30516 | FL | Primary |
Addresses
Primary practice location
36511 US Highway 19 N
Palm Harbor, FL 34684-1340
Mailing address
36511 US Highway 19 N
Palm Harbor, FL 34684-1340
Phone (727) 787-7400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2140627 | Other | PK |
Other names 1
- St. Thomas Compounding
National Provider Directory
National Provider Directory- Tax ID family
- Saint Thomas Compounding LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Palm Harbor, FL
- NPI 1093252082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487116800000",
"number": "1235577644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36511 US HIGHWAY 19 N",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346841340",
"telephone_number": "727-787-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36511 US HIGHWAY 19 N",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346841340",
"telephone_number": "727-787-7400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAINT THOMAS COMPOUNDING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-07",
"last_updated": "2017-02-15",
"status": "A",
"authorized_official_last_name": "SHAKER",
"authorized_official_first_name": "RANIA",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "718-223-3467"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "FL",
"license": "PH30516",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2140627",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St. Thomas Compounding",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.