Active NPI
Medassist RX,LLC
- Community/Retail Pharmacy
- Tampa, FL
National Provider Identifier
1679522635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH21715
- Legal business name
- MEDASSIST RX,LLC
- Practice address
- 1209 Tech Blvd
Ste 211
Tampa, FL 33619-7870 - Phone
- (813) 620-4101
- Fax
- (813) 620-4161
- NPI assigned
- May 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anh Phan
- Title
- Owner
- Phone
- (813) 385-7249
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PH21715 | FL | Primary |
Addresses
Primary practice location
1209 Tech Blvd
Ste 211
Tampa, FL 33619-7870
Mailing address
1209 Tech Blvd
Ste 211
Tampa, FL 33619-7870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1018957 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
National Provider Directory
National Provider DirectoryLocations
1209 Tech Blvd
Ste 211
Tampa, FL 33619
Phone (813) 399-0427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1679522635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 TECH BLVD",
"address_2": "STE 211",
"city": "TAMPA",
"state": "FL",
"postal_code": "336197870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 TECH BLVD",
"address_2": "STE 211",
"city": "TAMPA",
"state": "FL",
"postal_code": "336197870",
"telephone_number": "813-620-4101",
"fax_number": "813-620-4161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDASSIST RX,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PHAN",
"authorized_official_first_name": "ANH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-385-7249"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH21715",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "1018957",
"state": null
}
],
"endpoints": [],
"other_names": []
}
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 Aug 22, 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.