Organization Active NPI

Aventus Pharmacy LLC

  • Community/Retail Pharmacy
  • Tampa, FL
National Provider Identifier
1487199394
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH30420 Issued in FL
Legal business name
AVENTUS PHARMACY LLC
Practice address
10323 Cross Creek Blvd Ste B
Tampa, FL 33647-2988
Phone
(321) 262-5938
NPI assigned
Dec 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Authorized official

Name
Kelier Youssef
Title
Owner
Phone
(321) 262-5938

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH30420 FL Primary

Addresses

Primary practice location

10323 Cross Creek Blvd Ste B
Tampa, FL 33647-2988

Mailing address

10323 Cross Creek Blvd
Suite B
Tampa, FL 33647-2988
Phone (321) 262-5938

Other identifiers 1

IdentifierTypeStateIssuer
2167144OtherPK

National Provider Directory

National Provider Directory

Locations

10323 Cross Creek Blvd
Ste B
Tampa, FL 33647
Phone (321) 262-5938

NPI Registry JSON

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

{
    "created_epoch": "1483142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1487199394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10323 CROSS CREEK BLVD",
            "address_2": "SUITE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472988",
            "telephone_number": "321-262-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10323 CROSS CREEK BLVD STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472988",
            "telephone_number": "321-262-5938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENTUS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-31",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "YOUSSEF",
        "authorized_official_first_name": "KELIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-262-5938"
    },
    "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": "PH30420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2167144",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.