Pharmland

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH23875 Issued in FL

Legal business name

PHARMLAND

Practice address

3426 13TH Ave N
St Petersburg, FL 33713-5424

Phone

(727) 209-1282

NPI assigned

Feb 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Carlos Juan Mazariegos, PHARM D

Title

Co-Owner/Pharmacist

Phone

(727) 209-1282

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lifecare Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1285872937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3426 13TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337135424",
            "telephone_number": "727-209-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3426 13TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337135424",
            "telephone_number": "727-209-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "MAZARIEGOS",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "JUAN",
        "authorized_official_title_or_position": "CO-OWNER/PHARMACIST",
        "authorized_official_telephone_number": "727-209-1282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH23875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000609300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifecare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trang Phan
• Phong Kim Phane, DMD
• Richard Eugene Phares, MD
• Pharma Management Company,LLC
• Pharmalabs LLC
• Pharmland, LLC
• Jane Phelan, APRN
• Jennifer Rose Phelps, M.S., BCBA
• Claudia Phen
• Bernard Philippe, M.D.

• Community/Retail Pharmacy in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.