Organization Active NPI

Seniormed LLC FL

Doing business as Seniormed Pharmacy

  • Specialty Pharmacy
  • Tampa, FL
National Provider Identifier
1396787172
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
SENIORMED LLC FL
Doing business as
Seniormed Pharmacy
Practice address
4515 Oak Fair Blvd Ste 100
Tampa, FL 33610-7345
Phone
(813) 246-5367
Fax
(813) 246-5368
NPI assigned
Jun 13, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Alexander Katen
Title
VP Finance
Phone
(720) 857-6200

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH21657 FL
Long Term Care Pharmacy 3336L0003X NU
Mail Order Pharmacy 3336M0002X NU
Specialty Pharmacy 3336S0011X NU Primary

Addresses

Primary practice location

4515 Oak Fair Blvd Ste 100
Tampa, FL 33610-7345

Mailing address

4515 Oak Fair Blvd Ste 100
Tampa, FL 33610-7345

Other identifiers 1

IdentifierTypeStateIssuer
1015886OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • SENIORMED PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Seniormed 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

4515 Oak Fair Blvd
Ste 100
Tampa, FL 33610
Phone (813) 246-5367

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1396787172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 OAK FAIR BLVD STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336107345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 OAK FAIR BLVD STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336107345",
            "telephone_number": "813-246-5367",
            "fax_number": "813-246-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORMED LLC FL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KATEN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "720-857-6200"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH21657",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1015886",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SENIORMED PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 11, 2025; 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.