Active NPI
Advanced Wholesale Pharmcay, Inc
- Pharmacy
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- ADVANCED WHOLESALE PHARMCAY, INC
- Practice address
- 3614 W Kennedy Blvd
Ste C
Tampa, FL 33609-2852 - Phone
- (813) 374-2065
- Fax
- (813) 374-8884
- NPI assigned
- Dec 23, 2010
- Last updated
- Jun 20, 2018
- 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
- Dr. Stanley R Dennison Jr., MD., MBA
- Title
- Ceo
- Phone
- (813) 374-2065
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | Primary |
Addresses
Primary practice location
3614 W Kennedy Blvd
Ste C
Tampa, FL 33609-2852
Mailing address
1921 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6509
Phone (813) 876-7600
National Provider Directory
National Provider DirectoryLocations
3614 W Kennedy Blvd
Ste C
Tampa, FL 33609
Phone (813) 374-2064
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Interventional Pain Medicine Physician
- Tampa, FL
- NPI 1376618470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529452800000",
"number": "1346544954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 W DR MARTIN LUTHER KING JR BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076509",
"telephone_number": "813-876-7600",
"fax_number": "813-876-7675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3614 W KENNEDY BLVD",
"address_2": "STE C",
"city": "TAMPA",
"state": "FL",
"postal_code": "336092852",
"telephone_number": "813-374-2065",
"fax_number": "813-374-8884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED WHOLESALE PHARMCAY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-23",
"last_updated": "2018-06-20",
"status": "A",
"authorized_official_last_name": "DENNISON",
"authorized_official_first_name": "STANLEY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "813-374-2065",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD., MBA"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.