NPIMap

Organization Active NPI

PSG of Sarasota LLC

Doing business as IV Solutions Rx

  • Home Infusion Therapy Pharmacy
  • Tampa, FL
National Provider Identifier
1528494580
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
Legal business name
PSG OF SARASOTA LLC
Doing business as
IV Solutions Rx
Pharmetrics Specialty Rx
Practice address
5315 Avion Park Dr Ste 120
Tampa, FL 33607-1461
Phone
(844) 650-5802
Fax
(844) 277-0049
NPI assigned
Sep 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Authorized official

Name
Victoria Lynn Starr, RN,IGCN
Title
Coo
Phone
(844) 650-5802

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Community/Retail Pharmacy 3336C0003X
Home Infusion Therapy Pharmacy 3336H0001X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

5315 Avion Park Dr Ste 120
Tampa, FL 33607-1461

Mailing address

5315 Avion Park Dr Ste 120
Tampa, FL 33607-1461
Phone (844) 650-5802

Other identifiers 1

IdentifierTypeStateIssuer
111607800MedicaidFL

Other names 2

  • IV Solutions Rx Doing business as
  • Pharmetrics Specialty Rx Doing business as

Electronic endpoints 4

TypeEndpointUseAffiliation
CONNECT URL laptop Direct
CONNECT URL laptop Direct
CONNECT URL Laptop Direct
CONNECT URL Laptop Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL3 enrollments
Home infusion therapy
Medicare-enrolled home infusion therapy supplier

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20220803002687 FL DME Supplier - Pharmacy 7810379138 Practice locations: Tampa, FL
O20221003000069 FL Part B Supplier - Pharmacy 7810379138 Practice locations: Tampa, FL
O20250327003194 FL Part B Supplier - Home Infusion Therapy Supplier 7810379138 Practice locations: Tampa, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Premium RX Pharmacy6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

4683 Chabot Dr
Ste 200
Pleasanton, CA 94588

5315 Avion Park Dr
Ste 120
Tampa, FL 33607
Phone (727) 209-5722

140 Northway Ct
Raleigh, NC 27615
Phone (844) 650-5802

Networks

  • Optimum HealthCare HMO NetworkPlans: 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)
  • Freedom Health HMO NetworkPlans: 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)…

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1528494580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5315 AVION PARK DR STE 120",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071461",
            "telephone_number": "844-650-5802",
            "fax_number": "844-277-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 AVION PARK DR STE 120",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071461",
            "telephone_number": "844-650-5802",
            "fax_number": "844-277-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSG OF SARASOTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "STARR",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "844-650-5802",
        "authorized_official_credential": "RN,IGCN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111607800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5315 Avion Park Dr Ste 120",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336071461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5315 Avion Park Dr Ste 120",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336071461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5315 Avion Park Dr Ste 120",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336071461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5315 Avion Park Dr Ste 120",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336071461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "IV Solutions Rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pharmetrics Specialty Rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pharmetrics Specialty Rx",
            "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 Mar 10, 2023; 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.

Verify at the official NPI Registry.