SKP LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

SKP LLC

Doing business as

Gulfport Pharmacy LTC

Practice address

5004 Gulfport Blvd S
Gulfport, FL 33707-4942

Phone

(727) 223-1075

Fax

(727) 388-8217

NPI assigned

Feb 5, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Tapan Patel, RPHNPI 1356781009

Title

Business Partner

Phone

(631) 672-0456

Specialties & licenses 1

Addresses

Other names 1

• GULFPORT PHARMACY LTC Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tapan Patel, RPH

  • Pharmacist
  • Valrico, FL
  • NPI 1356781009
  NPD Authorized official
• Ayaz Shaikh

  • Pharmacist
  • Tampa, FL
  • NPI 1023446937
  NPD

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1316700941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 GULFPORT BLVD S",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "337074942",
            "telephone_number": "727-223-1075",
            "fax_number": "727-388-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 GULFPORT BLVD S",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "337074942",
            "telephone_number": "727-223-1075",
            "fax_number": "727-388-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TAPAN",
        "authorized_official_title_or_position": "BUSINESS PARTNER",
        "authorized_official_telephone_number": "631-672-0456",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GULFPORT PHARMACY LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clint Ross, LMHC
• Robert Ryan, ATR, LMHC
• Hillary Ann Savage, R.D., L.D.
• Mark Matthew Sieg I, CAP, LCSW
• Silverlining BC & T Inc.
• SKP LLC (Gulfport Pharmacy)
• Shaquonna Snead
• Taylor South
• SS Pinellas IV Community HC LLC (Boca Ciega Center)
• Jason Scott Steifman, BCBA

• Long Term Care Pharmacy in Gulfport, FL
• Providers in Gulfport, FL by specialty
• Long Term Care Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.