Active NPI
Cba Pharmacy Inc
- Community/Retail Pharmacy
- Tampa, FL
National Provider Identifier
1548558463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH25680
- Legal business name
- CBA PHARMACY INC
- Practice address
- 13801 Bruce B Downs Blvd Ste 103&102
Tampa, FL 33613-3946 - Phone
- (813) 933-5830
- Fax
- (813) 933-5841
- NPI assigned
- Jul 12, 2011
- 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
- Chiranjeevi Jannu
- Title
- Pharmacy Manager
- Phone
- (813) 933-5830
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PH25680 | FL | Primary |
Addresses
Primary practice location
13801 Bruce B Downs Blvd Ste 103&102
Tampa, FL 33613-3946
Mailing address
1911 W Dr Martin Luther King Jr Blvd
Suite 1
Tampa, FL 33607-6509
Phone (813) 933-5830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2132399 | Other | PK |
Other names 1
- GOOD HEALTH PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Cba Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialty Pharmacy
- Tampa, FL
- NPI 1508498569
Locations
13801 Bruce B Downs Blvd
Ste 103102
Tampa, FL 33613
Phone (813) 933-5830
1911 W Dr Martin Luther King Jr Blvd
Ste 1
Tampa, FL 33607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581033600000",
"number": "1548558463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 W DR MARTIN LUTHER KING JR BLVD",
"address_2": "SUITE 1",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076509",
"telephone_number": "813-933-5830",
"fax_number": "813-933-5841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13801 BRUCE B DOWNS BLVD STE 103&102",
"city": "TAMPA",
"state": "FL",
"postal_code": "336133946",
"telephone_number": "813-933-5830",
"fax_number": "813-933-5841"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CBA PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-12",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A",
"authorized_official_last_name": "JANNU",
"authorized_official_first_name": "CHIRANJEEVI",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "813-933-5830"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH25680",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2132399",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GOOD HEALTH PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "GOOD HEALTH 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 Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.