Organization Active NPI

Harbour Island Specialty Pharmacy

  • Long Term Care Pharmacy
  • Tampa, FL
National Provider Identifier
1336464072
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PH24548 Issued in FL
Legal business name
HARBOUR ISLAND SPECIALTY PHARMACY
Doing business as
Harbour Island Specialty Pharmacy
Practice address
12615 Race Track Rd
Tampa, FL 33626-1331
Phone
(813) 925-0300
Fax
(813) 925-0311
NPI assigned
Apr 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

Name
Anthony Prieto
Title
Owner
Phone
(813) 925-0300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X
Long Term Care Pharmacy 3336L0003X PH24548 FL Primary

Addresses

Primary practice location

12615 Race Track Rd
Tampa, FL 33626-1331

Mailing address

12615 Race Track Rd
Tampa, FL 33626-1331
Phone (813) 925-0300

Other identifiers 1

IdentifierTypeStateIssuer
1055309OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Harbour Island Specialty Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

601 S Harbour Island Blvd
#120
Tampa, FL 33602
Phone (813) 374-0207

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1336464072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12615 RACE TRACK RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261331",
            "telephone_number": "813-925-0300",
            "fax_number": "813-925-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12615 RACE TRACK RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261331",
            "telephone_number": "813-925-0300",
            "fax_number": "813-925-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOUR ISLAND SPECIALTY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "PRIETO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-925-0300"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH24548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1055309",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbour Island Specialty 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 6, 2011; 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.