NPIMap

Organization Active NPI

Medicor Healthcare, Inc

  • Pharmacy
  • Tampa, FL
National Provider Identifier
1396185401
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH26927 Issued in FL
Legal business name
MEDICOR HEALTHCARE, INC
Practice address
3403 W Waters Ave
Suite a
Tampa, FL 33614-2713
Phone
(813) 930-8000
Fax
(813) 930-8026
NPI assigned
Jul 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Authorized official

Name
Manuel Delgado Jr.
Title
President
Phone
(813) 930-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH26927 FL Primary

Addresses

Primary practice location

3403 W Waters Ave
Suite a
Tampa, FL 33614-2713

Mailing address

3403 W Waters Ave
Suite a
Tampa, FL 33614-2713
Phone (813) 930-8000

National Provider Directory

National Provider Directory
Tax ID family
Medicor Healthcare Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

3403 W Waters Ave
Ste A
Tampa, FL 33614
Phone (813) 930-8000

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1396185401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 W WATERS AVE",
            "address_2": "SUITE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142713",
            "telephone_number": "813-930-8000",
            "fax_number": "813-930-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 W WATERS AVE",
            "address_2": "SUITE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142713",
            "telephone_number": "813-930-8000",
            "fax_number": "813-930-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICOR HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-930-8000",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH26927",
            "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 Jul 15, 2015; 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.