Active NPI
Medipharm RX Inc
Doing business as Medipharm RX
- Institutional Pharmacy
- Tampa, FL
National Provider Identifier
1245275452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Institutional Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1009251 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 7947131341 | Medicaid | FL |
Other names 1
- MEDIPHARM RX
National Provider Directory
National Provider Directory- Tax ID family
- Medipharm RX
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Tampa, FL
- NPI 1942374012
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.