Orange-Bay Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH23400 Issued in FL

Legal business name

ORANGE-BAY PHARMACY LLC

Practice address

4625 N Nebraska Ave
Tampa, FL 33603-4013

Phone

(813) 418-6780

Fax

(813) 238-0237

NPI assigned

Oct 30, 2007

Organization subpart

No

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

Authorized official

Name

Lanre Okusanya, PHRMD

Title

Co Owner

Phone

(412) 996-2266

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ORANGE BAY PHARMACY Doing business as

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1457530040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 N NEBRASKA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336034013",
            "telephone_number": "813-418-6780",
            "fax_number": "813-238-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 N NEBRASKA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336034013",
            "telephone_number": "813-418-6780",
            "fax_number": "813-238-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE-BAY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "OKUSANYA",
        "authorized_official_first_name": "LANRE",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "412-996-2266",
        "authorized_official_credential": "PHRMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH23400",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "426700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2005573",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ORANGE BAY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ORANGE BAY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Optumcare South Florida, LLC
• Nancy Colella Oquendo, RPH
• Mustafa Hasan Oraibi
• Alyzeh Orakzai, DO
• Karla Elizabeth Oramas
• Kaitlyn Nicolle Oravec
• Adam L Orban, PHARM.D.
• David J. Orban, M.D.
• Sarah Anne Orban, PHD
• Alicia Orbea, DC

• 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 Sep 24, 2021; 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.