NPIMap

Organization Active NPI

Absolute Pharmacy, LLC

  • Pharmacy
  • Lutz, FL
National Provider Identifier
1376957985
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
FLPH28122 Issued in FL
Legal business name
ABSOLUTE PHARMACY, LLC
Practice address
16011 N. Nebraska Ave
Suite 103
Lutz, FL 33549
Phone
(813) 999-2700
Fax
(813) 999-2701
NPI assigned
Jun 12, 2014
Last updated
Jun 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Authorized official

Name
Mr. Andreas Diefer Dettlaff
Title
President
Phone
(768) 239-7676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X FLPH28122 FL Primary

Addresses

Primary practice location

16011 N. Nebraska Ave
Suite 103
Lutz, FL 33549

Mailing address

16011 N. Nebraska Ave
Suite 103
Lutz, FL 33549
Phone (813) 999-2700

National Provider Directory

National Provider Directory
Tax ID family
Absolute Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16011 N Nebraska Ave
Ste 103
Lutz, FL 33549
Phone (813) 999-2700

Practitioners & affiliated clinicians

Practitioners 2

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": "1402531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402531200000",
    "number": "1376957985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16011 N. NEBRASKA AVE",
            "address_2": "SUITE 103",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33549",
            "telephone_number": "813-999-2700",
            "fax_number": "813-999-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16011 N. NEBRASKA AVE",
            "address_2": "SUITE 103",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33549",
            "telephone_number": "813-999-2700",
            "fax_number": "813-999-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "DETTLAFF",
        "authorized_official_first_name": "ANDREAS",
        "authorized_official_middle_name": "DIEFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "768-239-7676",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "FLPH28122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.