NPIMap

Organization Active NPI

Plamyra Pharmacy LLC

  • Pharmacy
  • Tampa, FL
National Provider Identifier
1558817783
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
30300 Issued in FL
Legal business name
PLAMYRA PHARMACY LLC
Practice address
4817 E Busch Blvd
Tampa, FL 33617
Phone
(352) 213-3815
NPI assigned
Aug 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

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

Authorized official

Name
Mohab HarakaNPI 1992168892
Title
Manager
Phone
(352) 213-3815

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 30300 FL Primary

Addresses

Primary practice location

4817 E Busch Blvd
Tampa, FL 33617

Mailing address

4817 E Busch Blvd
Tampa, FL 33617

National Provider Directory

National Provider Directory
Tax ID family
Palmyra Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4817 E Busch Blvd
Tampa, FL 33617
Phone (352) 213-3815

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1558817783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4817 E BUSCH BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4817 E BUSCH BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33617",
            "telephone_number": "352-213-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAMYRA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "HARAKA",
        "authorized_official_first_name": "MOHAB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-213-3815"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "30300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 28, 2016; 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.