NPIMap

Organization Active NPI

Superior Pharmacy of Temple Terrace, LLC

  • Pharmacy
  • Temple Terrace, FL
National Provider Identifier
1629410469
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH20915 Issued in FL
Legal business name
SUPERIOR PHARMACY OF TEMPLE TERRACE, LLC
Practice address
5671 E Fowler Ave
Temple Terrace, FL 33617-2307
Phone
(813) 989-1351
NPI assigned
Jul 22, 2013
Organization subpart
Yes
Parent organization
PRANA ASSETS LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Mrs. Rina D Patel
Title
Manager
Phone
(813) 989-1351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH20915 FL Primary

Addresses

Primary practice location

5671 E Fowler Ave
Temple Terrace, FL 33617-2307

Mailing address

5671 E Fowler Ave
Temple Terrace, FL 33617-2307
Phone (813) 989-1351

Other names 1

  • Temple Terrace Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Superior Pharmacy of Temple Terrace2 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

5671 E Fowler Ave
Temple Terrace, FL 33617
Phone (813) 989-1351

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1629410469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5671 E FOWLER AVE",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336172307",
            "telephone_number": "813-989-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5671 E FOWLER AVE",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336172307",
            "telephone_number": "813-989-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR PHARMACY OF TEMPLE TERRACE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRANA ASSETS LP",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RINA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-989-1351",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH20915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Temple Terrace Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temple Terrace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.