Pasco Pharmacy Inc

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PCN.0002952 Issued in CT

Legal business name

PASCO PHARMACY INC

Practice address

9332 State Road 54 Ste 205
New Port Richey, FL 34655-1810

Phone

(813) 991-9500

Fax

(813) 991-9600

NPI assigned

Aug 6, 2012

Organization subpart

No

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

Authorized official

Name

Krutika Patel

Title

Chief Executive Officer

Phone

(813) 966-0177

Specialties & licenses 7

Addresses

Other identifiers 1

Other names 1

• FLORIDA WELLNESS 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.

• Stejo Abraham

  • Pharmacist
  • Valrico, FL
  • NPI 1427738715
  NPD

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1467709709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9332 STATE ROAD 54 STE 205",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551810",
            "telephone_number": "813-991-9500",
            "fax_number": "813-991-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9332 STATE ROAD 54 STE 205",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551810",
            "telephone_number": "813-991-9500",
            "fax_number": "813-991-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASCO PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KRUTIKA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "813-966-0177"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH26197",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "VT",
            "license": "360119892",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NH",
            "license": "NR1318",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MD",
            "license": "PO7088",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CT",
            "license": "PCN.0002952",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NJ",
            "license": "28RO00110800",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "OH",
            "license": "NRP022608200.02",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147577",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLORIDA WELLNESS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pasco County Emergency Physicians LLC
• Pasco Hernando Oncology Associates PA
• Pasco Imaging Consultants, PL
• Pasco Medical Solutions LLC
• Pasco Pathology Services, Inc.
• Pasco Pulmonary Medical Center Inc
• Pasco Radiology Consultants
• Andrew Panlilio Pasion, MD
• Andreas Pasiourtis, LMT
• Riley Marie Passarella

• Compounding Pharmacy in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Compounding Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.