Organization Active NPI

Phemmy Ventures Inc

  • Community/Retail Pharmacy
  • Tampa, FL
National Provider Identifier
1487818340
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH23188 Issued in FL
Legal business name
PHEMMY VENTURES INC
Practice address
1412 W Waters Ave Ste 103
Tampa, FL 33604-2802
Phone
(813) 931-3700
Fax
(813) 931-3747
NPI assigned
Jul 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Venan Nanakumo, M.PHARMNPI 1174823611
Title
Pharmacy Manager
Phone
(813) 843-3224

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH23188 FL Primary

Addresses

Primary practice location

1412 W Waters Ave Ste 103
Tampa, FL 33604-2802

Mailing address

1412 W Waters Ave
Ste 103
Tampa, FL 33604-2802
Phone (813) 931-3700

Other identifiers 2

IdentifierTypeStateIssuer
1036121OtherNCPDP PROVIDER IDENTIFICATION NUMBER
000027500MedicaidFL

Other names 1

  • Healthmart Discount Drugs Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1487818340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 W WATERS AVE",
            "address_2": "STE 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042802",
            "telephone_number": "813-931-3700",
            "fax_number": "813-931-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 W WATERS AVE STE 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042802",
            "telephone_number": "813-931-3700",
            "fax_number": "813-931-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHEMMY VENTURES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "NANAKUMO",
        "authorized_official_first_name": "VENAN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "813-843-3224",
        "authorized_official_credential": "M.PHARM"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH23188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1036121",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000027500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthmart Discount Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 14, 2010; 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.