KSP Pharmacy, LLC.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KSP PHARMACY, LLC.

Doing business as

Express Pharmacy

Practice address

10549 N Florida Ave
Suite a
Tampa, FL 33612-6707

Phone

(813) 936-9700

Fax

(813) 936-9729

NPI assigned

May 24, 2012

Organization subpart

No

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

Authorized official

Name

Mr. John Correa

Title

Member

Phone

(813) 936-9700

Specialties & licenses 1

Addresses

Other names 1

• Express Pharmacy Doing business as

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345766400000",
    "number": "1396005344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10549 N FLORIDA AVE",
            "address_2": "SUITE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336126707",
            "telephone_number": "813-936-9700",
            "fax_number": "813-936-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10549 N FLORIDA AVE",
            "address_2": "SUITE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336126707",
            "telephone_number": "813-936-9700",
            "fax_number": "813-936-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSP PHARMACY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-08-24",
        "status": "A",
        "authorized_official_last_name": "CORREA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "813-936-9700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Krzeczowska, APRN
• Emily Krzykwa
• KS on the Go, LLC
• Tarik Ksaibati, D.O.
• Atul Kshatri, M.D.
• Jameson Ye Kuang
• Catherine Klein Kuba, MPT, CSCS
• Kristina Kuba, DPM
• Pamela Finley Kubal, MSN, ACNP-BC
• Timothy Edward Kubal, MD

• Community/Retail Pharmacy in Tampa, FL
• Providers in Tampa, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2012; 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.