NPIMap

Organization Active NPI

Vistacare Pharmacy Services 2, LLC

  • Community/Retail Pharmacy
  • Pinellas Park, FL
National Provider Identifier
1457729618
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH29057 Issued in FL
Legal business name
VISTACARE PHARMACY SERVICES 2, LLC
Practice address
7599 Park Blvd N
Suite 100
Pinellas Park, FL 33781-2904
Phone
(727) 914-5227
Fax
(727) 914-5228
NPI assigned
Sep 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Authorized official

Name
Nazir Hassan
Title
Owner
Phone
(727) 914-5227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH29057 FL Primary

Addresses

Primary practice location

7599 Park Blvd N
Suite 100
Pinellas Park, FL 33781-2904

Mailing address

7599 Park Blvd N
Suite 100
Pinellas Park, FL 33781-2904
Phone (727) 914-5227

Other names 1

  • VISTACARE PHARMACY II Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201207001338 FL Part B Supplier - Pharmacy 9436430444 Practice locations: Pinellas Park, FL
O20220802001855 FL Part B Supplier - Independent Clinical Laboratory 9436430444 Practice locations: Pinellas Park, FL

National Provider Directory

National Provider Directory

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1457729618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7599 PARK BLVD N",
            "address_2": "SUITE 100",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812904",
            "telephone_number": "727-914-5227",
            "fax_number": "727-914-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7599 PARK BLVD N",
            "address_2": "SUITE 100",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812904",
            "telephone_number": "727-914-5227",
            "fax_number": "727-914-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTACARE PHARMACY SERVICES 2, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "NAZIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-914-5227"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH29057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VISTACARE PHARMACY II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.