Tradeline SH Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH29105 Issued in FL

Legal business name

TRADELINE SH INC

Doing business as

Logos Pharmacy

Practice address

7543 W Waters Ave
Tampa, FL 33615-1511

Phone

(813) 886-2800

Fax

(813) 886-2822

NPI assigned

Apr 7, 2015

Last updated

Aug 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raafat HabibNPI 1659897221

Title

President/Owner

Phone

(248) 631-6565

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Logos Pharmacy Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Tradeline SH Inc

  • Durable Medical Equipment & Medical Supplies
  • Tampa, FL
  • NPI 1477207447

  Member Of

  NPD member

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raafat Mossad Habib

  • Pharmacist
  • Tampa, FL
  • NPI 1659897221
  NPD (past) Authorized official
• Mary Gerges, RPH

  • Pharmacist
  • Tampa, FL
  • NPI 1437739844
  NPD
• Devon Sebastian Placides

  • Pharmacist
  • Tampa, FL
  • NPI 1043746704
  NPD (past)

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1659767515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7543 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151511",
            "telephone_number": "813-886-2800",
            "fax_number": "813-886-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7543 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151511",
            "telephone_number": "813-886-2800",
            "fax_number": "813-886-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRADELINE SH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "HABIB",
        "authorized_official_first_name": "RAAFAT",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "248-631-6565"
    },
    "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": "PH29105",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151298",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015407500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Logos Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Logos Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Traci Thompson MD, PA (Papillon Consulting)
• Tracy Hampton, LLC
• Alexandra Tracy, APRN
• Amanda Marie Tracy
• Tradeline SH Inc
• Traditional Home Care, Inc. (Medical Services of America Home Health)
• Nicole Lynn Tragash, MD
• Emily Louise Trahan
• Shannon L. Trainor, LMHC
• Jasmine A Tramel

• Community/Retail Pharmacy in Tampa, FL
• Providers in Tampa, 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 Aug 18, 2020; 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.