Kenneth D. Wurster Drugs, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH10939 Issued in FL

Legal business name

KENNETH D. WURSTER DRUGS, INC.

Practice address

3206 S West Shore Blvd
Tampa, FL 33629-7652

Phone

(813) 837-9095

Fax

(813) 839-0802

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Mayra Wurster, PHARM D

Title

Pres

Phone

(813) 837-9095

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• WEST SHORE PHARMACY Doing business as

Locations

Practitioners 1

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

• Rhonda Fannon, PHARM.D.

  • Pharmacist
  • Tampa, FL
  • NPI 1932563632
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1467520262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 S WEST SHORE BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336297652",
            "telephone_number": "813-837-9095",
            "fax_number": "813-839-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 S WEST SHORE BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336297652",
            "telephone_number": "813-837-9095",
            "fax_number": "813-839-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH D. WURSTER DRUGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "WURSTER",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "813-837-9095",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH10939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2007853",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10102980C",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST SHORE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Kennedy, BCBA
• Kassie Kennedy
• Tommy Steven Kennedy, DPM
• Allison Kennel-Besselieu, ARNP
• Susan E. Kennel, ARNP
• Kenneth M Mattos Ap LLC
• Kenneth P Pages MD PA
• Rachel Kennett, MD
• Diana Kenney
• Kory Jeffrey Kenney, 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 Feb 20, 2017; 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.