Organization Active NPI

Medassist RX,LLC

  • Community/Retail Pharmacy
  • Tampa, FL
National Provider Identifier
1679522635
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH21715 Issued in FL
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1018957OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.