Organization Active NPI

Medipharm RX Inc

Doing business as Medipharm RX

  • Institutional Pharmacy
  • Tampa, FL
National Provider Identifier
1245275452
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
Legal business name
MEDIPHARM RX INC
Doing business as
Medipharm RX
Practice address
4607 N Clark Ave
Tampa, FL 33614-7038
Phone
(813) 876-0881
Fax
(813) 876-0883
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
John Hawes
Title
Chief Pharmacist
Phone
(813) 876-0881

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH21000 FL
Institutional Pharmacy 3336I0012X Primary
Long Term Care Pharmacy 3336L0003X
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

4607 N Clark Ave
Tampa, FL 33614-7038

Mailing address

4607 N Clark Ave
Tampa, FL 33614-7038

Other identifiers 2

IdentifierTypeStateIssuer
1009251OtherOTHER ID NUMBER-COMMERCIAL NUMBER
7947131341MedicaidFL

Other names 1

  • MEDIPHARM RX Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medipharm RX2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4607 N Clark Ave
Tampa, FL 33614
Phone (813) 876-0881

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1245275452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 N CLARK AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 N CLARK AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147038",
            "telephone_number": "813-876-0881",
            "fax_number": "813-876-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIPHARM RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HAWES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "813-876-0881"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH21000",
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1009251",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7947131341",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDIPHARM RX",
            "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 Sep 11, 2025; 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.