Organization Active NPI

Pmsi Inc

  • Community/Retail Pharmacy
  • Tampa, FL
National Provider Identifier
1578587234
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH19802 Issued in FL
Legal business name
PMSI INC
Doing business as
PMSI PHARMACY
Practice address
4502 E Woodland Corp. Blvd.
Ste 105
Tampa, FL 33614
Phone
(813) 318-6758
Fax
(813) 627-2502
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Authorized official

Name
Lori Daugherty
Title
President of Pharmacy
Phone
(813) 318-6844

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH19802 FL Primary
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

4502 E Woodland Corp. Blvd.
Ste 105
Tampa, FL 33614

Mailing address

PO Box 850001
Dept 0570
Orlando, FL 32885-0001
Phone (813) 318-6758

Other identifiers 1

IdentifierTypeStateIssuer
1066124OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • PMSI PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

4502 Woodland Corporate Blvd
Ste 105
Tampa, FL 33614
Phone (813) 318-6758

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1578587234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850001",
            "address_2": "DEPT 0570",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328850001",
            "telephone_number": "813-318-6758",
            "fax_number": "813-627-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 E WOODLAND CORP. BLVD.",
            "address_2": "STE 105",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33614",
            "telephone_number": "813-318-6758",
            "fax_number": "813-627-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMSI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "DAUGHERTY",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "PRESIDENT OF PHARMACY",
        "authorized_official_telephone_number": "813-318-6844"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH19802",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1066124",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PMSI 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 Nov 7, 2012; 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.