Lissmart Medical Supplies Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH23040 Issued in FL

Legal business name

LISSMART MEDICAL SUPPLIES INC

Doing business as

Lissmart Pharmacy

Practice address

4579 Gunn Hwy
Tampa, FL 33624-6311

Phone

(813) 374-2452

Fax

(813) 374-2453

NPI assigned

Oct 24, 2007

Organization subpart

No

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

Authorized official

Name

Lisvet Martinez

Title

President

Phone

(813) 417-9860

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• LISSMART PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382745600000",
    "number": "1669651840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4579 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336246311",
            "telephone_number": "813-374-2452",
            "fax_number": "813-374-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4579 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336246311",
            "telephone_number": "813-374-2452",
            "fax_number": "813-374-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISSMART MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2013-10-26",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LISVET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-417-9860"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH23040",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032313600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2010231",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LISSMART PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa a Scudder DO PA
• Lisa Bentivenga LCSW P LLC
• Lisa Indelicato SLP-Pros, Inc
• Lisa M. Petrica-Moser, PH.D. Inc.
• Lisset Maria Suarez MD PA (Suarez Medical Center)
• Lissmart Medical Supplies Inc (Lissmart Pharmacy)
• Lissmart Medical Supply, Inc
• Lissmart Rehabilitation of Tampa,Inc
• Alan List, MD
• Brock Lister

• 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 Oct 26, 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.