Active NPI
HVVP RX LLC
- Community/Retail Pharmacy
- Tampa, FL
National Provider Identifier
1528296639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH24141
- Legal business name
- HVVP RX LLC
- Practice address
- 10010 Cross Creek Blvd
Tampa, FL 33647-2595 - Phone
- (813) 955-7777
- Fax
- (813) 557-3333
- NPI assigned
- Jun 26, 2009
- 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
- Vikas Ghiya, BS(PHARMACY)
- Title
- Pharmacy Manager
- Phone
- (813) 955-7777
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PH24141 | FL | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
10010 Cross Creek Blvd
Tampa, FL 33647-2595
Mailing address
10010 Cross Creek Blvd
Tampa, FL 33647-2595
Phone (813) 955-7777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017428800 | Medicaid | FL |
Other names 1
- Prime Rx Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201110002656 | FL | Part B Supplier - Mass Immunization (Roster Biller Only) | 8820260524 | Practice locations: Tampa, FL |
National Provider Directory
National Provider DirectoryNetworks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Tampa, FL
- NPI 1336238351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1572566400000",
"number": "1528296639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10010 CROSS CREEK BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336472595",
"telephone_number": "813-955-7777",
"fax_number": "727-398-1992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10010 CROSS CREEK BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336472595",
"telephone_number": "813-955-7777",
"fax_number": "813-557-3333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HVVP RX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-26",
"last_updated": "2019-11-01",
"status": "A",
"authorized_official_last_name": "GHIYA",
"authorized_official_first_name": "VIKAS",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "813-955-7777",
"authorized_official_credential": "BS(PHARMACY)"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH24141",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017428800",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Prime Rx Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Prime Rx Pharmacy",
"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 Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.