Tiberius

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH13938 Issued in FL

Legal business name

TIBERIUS

Practice address

27732 Cashford Cir
Wesley Chapel, FL 33544-6964

Phone

(813) 871-6154

Fax

(813) 876-9095

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

James Castillo

Title

Owner

Phone

(813) 871-6154

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CUSTOM SRIPTS PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1609896091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27732 CASHFORD CIR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446964",
            "telephone_number": "813-871-6154",
            "fax_number": "813-876-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27732 CASHFORD CIR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446964",
            "telephone_number": "813-871-6154",
            "fax_number": "813-876-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIBERIUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-871-6154"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH13938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1022348",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CUSTOM SRIPTS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.