Active NPI
Aventus Pharmacy LLC
- Community/Retail Pharmacy
- Tampa, FL
National Provider Identifier
1487199394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH30420
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2167144 | Other | PK |
National Provider Directory
National Provider DirectoryLocations
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.