Palms Pharmacy, Inc – Community/Retail Pharmacy

Key facts

NPI: 1487019295
Entity type: Organization (NPI type 2)
Primary specialty: Community/Retail Pharmacy 3336C0003X
License: PH29615 (FL)
Legal business name: PALMS PHARMACY, INC
Practice address: 17008 Palm Pointe Dr
Tampa, FL 33647-3504
Phone: (813) 252-9063
Fax: (813) 252-7017
NPI assigned: Dec 21, 2015
Organization subpart: No

Authorized official

Name: Dr. Shahida Amar, PHARMD NPI 1356475503
Title: Pharmacist
Phone: (813) 252-9063

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Palms Pharmacy Inc Long Term Care Pharmacy · Tampa, FL · NPI 1699430413

NPD tax ID

Practitioners 3

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

Shahida Amar, PHARM.D, Pharmacist · Brooksville, FL · NPI 1356475503

NPD Authorized official
Jake Johnson, PHARMD Pharmacist · Tampa, FL · NPI 1295333946

NPD (past)
Genesis Reyes Quiles, PHARMD Pharmacist · Tampa, FL · NPI 1962382671

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled (2 enrollments) in FL

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20171129000560	FL	Part B Supplier - Mass Immunization (Roster Biller Only)	8729345772	Practice locations: Tampa, FL
O20241218001838	FL	DME Supplier - Pharmacy	8729345772	Practice locations: Tampa, FL

National Provider Directory

Tax ID family: Palms Pharmacy Inc (2 organizations share this tax ID)

Locations

17008 Palm Pointe Dr
Tampa, FL 33647
Phone (813) 252-9063

Networks

Freedom Health HMO Network
Plans: 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 Network
Plans: 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)

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Community/Retail Pharmacy	3336C0003X	PH29615	FL	Yes

Addresses

Primary practice location

17008 Palm Pointe Dr
Tampa, FL 33647-3504

Mailing address

17008 Palm Pointe Dr
Tampa, FL 33647-3504
Phone (813) 252-9063

Other identifiers

Identifier	Type	State	Issuer
PH29615	Other	FL	STATE LICENSE

Other providers in Tampa, FL

All providers in Tampa, FL · Community/Retail Pharmacy in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.