TCS Labs LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH27331 Issued in FL

Legal business name

TCS LABS LLC

Doing business as

The Compounding Shop

Practice address

4000 Park St N
Saint Petersburg, FL 33709-4034

Phone

(727) 381-9799

Fax

(727) 347-2050

NPI assigned

Jan 27, 2014

Organization subpart

Yes

Parent organization

RESTORE HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Matt Wanderer

Title

Ceo

Phone

(800) 558-7046

Specialties & licenses 1

Addresses

Other names 1

• The Compounding Shop Doing business as

Locations

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1659794741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 DEMING WAY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537172007",
            "telephone_number": "800-558-7046",
            "fax_number": "888-898-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 PARK ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337094034",
            "telephone_number": "727-381-9799",
            "fax_number": "727-347-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCS LABS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESTORE HOLDINGS LLC",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "WANDERER",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-558-7046"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH27331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Compounding Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in St Petersburg, FL
• Providers in St Petersburg, 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 Jan 27, 2014; 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.