Organization Active NPI

Advanced Wholesale Pharmcay, Inc

  • Pharmacy
  • Tampa, FL
National Provider Identifier
1346544954
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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., MBANPI 1376618470
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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": []
}

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 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.

Verify at the official NPI Registry.