Individual provider Active NPI

Reem Zietoon, RPH

  • Clinic Pharmacy
  • Tampa, FL
National Provider Identifier
1265245161
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
66432 Issued in FL
Practice address
3109 W Dr Martin Luther King Jr Blvd Ste 350
Tampa, FL 33607-6208
Phone
(833) 208-7770
NPI assigned
Jan 27, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 28850 MD
Clinic Pharmacy 3336C0002X 66432 FL Primary

Addresses

Primary practice location

3109 W Dr Martin Luther King Jr Blvd Ste 350
Tampa, FL 33607-6208

Mailing address

220 Athens Way Ste 240
Nashville, TN 37228-1311
Phone (833) 208-7770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28850MDMDPhysical Therapist
66432FLMDClinic Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Imagine Pediatrics of Florida LLC CurrentSince Feb 2, 2025 Accepting new patients

Locations

3109 W Mlk Blvd
Ste 350
Tampa, FL 33607

220 Athens Way
Ste 240
Nashville, TN 37228
Phone (504) 470-4140

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1265245161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ATHENS WAY STE 240",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281311",
            "telephone_number": "833-208-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 W DR MARTIN LUTHER KING JR BLVD STE 350",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076208",
            "telephone_number": "833-208-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIETOON",
        "first_name": "REEM",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "MD",
            "license": "28850",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "FL",
            "license": "66432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 27, 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.