NPIMap

Organization Active NPI

Kabs of Tampa Inc

  • Long Term Care Pharmacy
  • Tampa, FL
National Provider Identifier
1649798356
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PH18088 Issued in FL
Legal business name
KABS OF TAMPA INC
Practice address
2812 E Bearss Ave
Tampa, FL 33613-2653
Phone
(813) 843-0224
NPI assigned
Sep 1, 2017
Organization subpart
Yes
Parent organization
KABS OF TAMPA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Kolawole IsholaNPI 1891394185
Title
Vice President
Phone
(813) 988-4000

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
Long Term Care Pharmacy 3336L0003X PH18088 FL Primary

Addresses

Primary practice location

2812 E Bearss Ave
Tampa, FL 33613-2653

Mailing address

2812 E Bearss Ave
Tampa, FL 33613-2653
Phone (813) 843-0224

Other identifiers 1

IdentifierTypeStateIssuer
025271900MedicaidFL

Other names 1

  • KABS PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kabs of Tampa Inc2 organizations share this tax ID, including this one
Part of
Kabs of Tampa Inc

Other organizations with this tax ID 1

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

Locations

2812 E Bearss Ave
Tampa, FL 33613
Phone (813) 843-0224

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1504224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1649798356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 E BEARSS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132653",
            "telephone_number": "813-843-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 E BEARSS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132653",
            "telephone_number": "813-843-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KABS OF TAMPA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KABS OF TAMPA INC",
        "enumeration_date": "2017-09-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ISHOLA",
        "authorized_official_first_name": "KOLAWOLE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "813-988-4000"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH18088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025271900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KABS 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 Jul 21, 2022; 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.