Pharmland, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PH24967 Issued in FL

Legal business name

PHARMLAND, LLC

Doing business as

Lifecare Pharmacy Long term Care

Practice address

3426 13TH Ave N
Suite B
St Petersburg, FL 33713-5424

Phone

(727) 209-1283

Fax

(727) 209-1281

NPI assigned

Oct 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Carlos Juan Mazariegos, PHARMD

Title

Co-Owner

Phone

(727) 209-1283

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lifecare Pharmacy Long term Care Doing business as

Locations

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1407156250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3426 13TH AVE N",
            "address_2": "SUITE B",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337135424",
            "telephone_number": "727-209-1283",
            "fax_number": "727-209-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3426 13TH AVE N",
            "address_2": "SUITE B",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337135424",
            "telephone_number": "727-209-1283",
            "fax_number": "727-209-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "MAZARIEGOS",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "JUAN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "727-209-1283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH24967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000609300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifecare Pharmacy Long term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phong Kim Phane, DMD
• Richard Eugene Phares, MD
• Pharma Management Company,LLC
• Pharmalabs LLC
• Pharmland (Lifecare Pharmacy)
• Jane Phelan, APRN
• Jennifer Rose Phelps, M.S., BCBA
• Claudia Phen
• Bernard Philippe, M.D.
• Jason D Philippe, MD

• Long Term Care Pharmacy in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Long Term Care Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.