Active NPI
Tata Resources LLC
- Community/Retail Pharmacy
- Tampa, FL
National Provider Identifier
1679743157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH23250
- Legal business name
- TATA RESOURCES LLC
- Practice address
- 13502 N Florida Ave Unit B
Tampa, FL 33613-3213 - Phone
- (813) 221-3131
- Fax
- (866) 823-7996
- NPI assigned
- Mar 11, 2008
- 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
- Stephen O Banjoko
- Title
- Cfo
- Phone
- (813) 341-4000
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | PH23250 | FL | Primary |
| Long Term Care Pharmacy | 3336L0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
13502 N Florida Ave Unit B
Tampa, FL 33613-3213
Mailing address
PO Box 17175
Tampa, FL 33682-7175
Phone (813) 221-3131
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006558700 | Medicaid | FL | |
| 006558701 | Medicaid | FL | |
| 2010896 | Other | PK |
Other names 2
- BAY AREA PHARMACY
- BAY AREA PHARMACY # 01
National Provider Directory
National Provider DirectoryLocations
13502 N Florida Ave
Unit B
Tampa, FL 33613
Phone (813) 221-3131
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768953600000",
"number": "1679743157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17175",
"city": "TAMPA",
"state": "FL",
"postal_code": "336827175",
"telephone_number": "813-221-3131",
"fax_number": "813-343-4321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13502 N FLORIDA AVE UNIT B",
"city": "TAMPA",
"state": "FL",
"postal_code": "336133213",
"telephone_number": "813-221-3131",
"fax_number": "866-823-7996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TATA RESOURCES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-11",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A",
"authorized_official_last_name": "BANJOKO",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "813-341-4000"
},
"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": "PH23250",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006558700",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006558701",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2010896",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BAY AREA PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BAY AREA PHARMACY # 01",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.