Organization Active NPI

Jaylex Pharmacy LLC

Doing business as FreedoMed Pharmacy & Compounding Lab

  • Community/Retail Pharmacy
  • Tampa, FL
National Provider Identifier
1538680111
Registry record updated Jul 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JAYLEX PHARMACY LLC
Doing business as
FreedoMed Pharmacy & Compounding Lab
Practice address
5535 Memorial Hwy
Tampa, FL 33634-7332
Phone
(813) 889-9779
Fax
(813) 889-9724
NPI assigned
Jul 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2017

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

Authorized official

Name
Tran Bui, PHARMD
Title
Pharmacist
Phone
(813) 889-9779

Specialties & licenses 1

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

Addresses

Primary practice location

5535 Memorial Hwy
Tampa, FL 33634-7332

Mailing address

5535 Memorial Hwy
Tampa, FL 33634-7332
Phone (813) 889-9779

Other names 1

  • FreedoMed Pharmacy & Compounding Lab Doing business as

National Provider Directory

National Provider Directory

Locations

5535 Memorial Hwy
Tampa, FL 33634
Phone (813) 574-4869

NPI Registry JSON

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

{
    "created_epoch": "1499126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499126400000",
    "number": "1538680111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5535 MEMORIAL HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347332",
            "telephone_number": "813-889-9779",
            "fax_number": "813-889-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 MEMORIAL HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347332",
            "telephone_number": "813-889-9779",
            "fax_number": "813-889-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYLEX PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-04",
        "last_updated": "2017-07-04",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "TRAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "813-889-9779",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FreedoMed Pharmacy & Compounding Lab",
            "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 Jul 4, 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.

Verify at the official NPI Registry.