Organization Active NPI

St Hope Healthcare, LLC

  • Community/Retail Pharmacy
  • Bradenton, FL
National Provider Identifier
1245623602
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH28521 Issued in FL
Legal business name
ST HOPE HEALTHCARE, LLC
Practice address
3501 Cortez Rd W Ste 901
Bradenton, FL 34210-3104
Phone
(727) 224-1056
NPI assigned
Mar 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Louis Rosa
Title
MMGR
Phone
(727) 224-1056

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH28521 FL Primary

Addresses

Primary practice location

3501 Cortez Rd W Ste 901
Bradenton, FL 34210-3104

Mailing address

6261 15TH St S
St Petersburg, FL 33705-5637
Phone (727) 224-1056

Other identifiers 1

IdentifierTypeStateIssuer
2150567OtherPK

Other names 1

  • St Hope Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

3501 Cortez Rd W
Ste 901
Bradenton, FL 34210
Phone (727) 224-1056

NPI Registry JSON

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1245623602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6261 15TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337055637",
            "telephone_number": "727-224-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 CORTEZ RD W STE 901",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103104",
            "telephone_number": "727-224-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST HOPE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "ROSA",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "MMGR",
        "authorized_official_telephone_number": "727-224-1056"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH28521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150567",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Hope Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.