NPIMap

Organization Active NPI

Comprehensive Hematology Oncology LLC

  • Community/Retail Pharmacy
  • St Petersburg, FL
National Provider Identifier
1528610367
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
COMPREHENSIVE HEMATOLOGY ONCOLOGY LLC
Practice address
5000 Park St N Ste 1025
St Petersburg, FL 33709-2236
Phone
(727) 344-6569
Fax
(727) 384-4388
NPI assigned
Jul 11, 2019
Organization subpart
Yes
Parent organization
COMPREHENSIVE HEMATOLOGY ONCOLOGY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Authorized official

Name
Jeanine Marie Martin
Title
Cred
Phone
(352) 799-0046

Specialties & licenses 1

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

Addresses

Primary practice location

5000 Park St N Ste 1025
St Petersburg, FL 33709-2236

Mailing address

5000 Park St N Ste 1025
St Petersburg, FL 33709-2236
Phone (727) 344-6569

Other names 1

  • COMPREHENSIVE HEMATOLOGY ONCOLOGY PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191028000654 FL Part B Supplier - Pharmacy 5395084461 Practice locations: St Petersburg, 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
Comprehensive Hematology Oncology LLC2 organizations share this tax ID, including this one
Part of
Comprehensive Hematology Oncology LLC

Other organizations with this tax ID 1

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

Locations

425 S Parsons Ave
Ste 101
Brandon, FL 33511
Phone (813) 278-5062

15211 Cortez Blvd
Brooksville, FL 34613
Phone (352) 345-4565

12645 New Brittany Blvd
Ste 15
Fort Myers, FL 33907
Phone (239) 277-9377

2227 US 27 S
Ste 102
Sebring, FL 33870
Phone (833) 421-0312

603 7th St S
Ste 560
St Petersburg, FL 33701
Phone (727) 820-7714

5000 Park St N
Ste 1025
St Petersburg, FL 33709

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)…

Practitioners & affiliated clinicians

Practitioners 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1528610367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 PARK ST N STE 1025",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092236",
            "telephone_number": "727-344-6569",
            "fax_number": "727-384-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 PARK ST N STE 1025",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092236",
            "telephone_number": "727-344-6569",
            "fax_number": "727-384-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE HEMATOLOGY ONCOLOGY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPREHENSIVE HEMATOLOGY ONCOLOGY LLC",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CRED",
        "authorized_official_telephone_number": "352-799-0046"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPREHENSIVE HEMATOLOGY ONCOLOGY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.

Verify at the official NPI Registry.