Active NPI
Midtown Apothecary Inc.
- Community/Retail Pharmacy
- Tampa, FL
National Provider Identifier
1265730345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH25711
- Legal business name
- MIDTOWN APOTHECARY INC.
- Practice address
- 2136 W MLK Blvd Ste a
Tampa, FL 33607-6512 - Phone
- (813) 527-0765
- Fax
- (813) 644-6992
- NPI assigned
- Mar 14, 2011
- 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
- Wale Julius
- Title
- Owner
- Phone
- (813) 536-7291
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | PH25711 | FL | |
| Community/Retail Pharmacy | 3336C0003X | PH25711 | FL | Primary |
Addresses
Primary practice location
2136 W MLK Blvd Ste a
Tampa, FL 33607-6512
Mailing address
2136 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6512
Phone (813) 527-0765
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021834500 | Medicaid | FL |
Other names 1
- Midtown Pharmacy
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
3031 W Cypress St
Tampa, FL 33609
Phone (813) 527-0445
2136 W Mlk Blvd
Ste A
Tampa, FL 33607
Phone (813) 527-0765
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Tampa, FL
- NPI 1881048874
-
- Endocrinology, Diabetes & Metabolism Physician
- Tampa, FL
- NPI 1962509133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730332800000",
"number": "1265730345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2136 W DR MARTIN LUTHER KING JR BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076512",
"telephone_number": "813-527-0765",
"fax_number": "813-644-6992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2136 W MLK BLVD STE A",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076512",
"telephone_number": "813-527-0765",
"fax_number": "813-644-6992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDTOWN APOTHECARY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-14",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A",
"authorized_official_last_name": "JULIUS",
"authorized_official_first_name": "WALE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-536-7291"
},
"taxonomies": [
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": "FL",
"license": "PH25711",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH25711",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021834500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Midtown Pharmacy",
"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 Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.