NPIMap

Organization Active NPI

Baycare Pharmacy

  • Community/Retail Pharmacy
  • St Petersburg, FL
National Provider Identifier
1679810568
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH26585 Issued in FL
Legal business name
BAYCARE PHARMACY
Doing business as
Baycare Pharmacy
Practice address
620 10TH St N
Saint Petersburg, FL 33705-1407
Phone
(727) 502-4144
Fax
(727) 502-4143
NPI assigned
Jan 11, 2013
Last updated
Jun 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Mrs. Timisi C Johnson, RN
Title
Director
Phone
(727) 470-4609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH26585 FL Primary

Addresses

Primary practice location

620 10TH St N
Saint Petersburg, FL 33705-1407

Mailing address

620, 10TH St North
Saint Petersburg, FL 33705
Phone (727) 502-4144

Other identifiers 1

IdentifierTypeStateIssuer
5713032OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • BAYCARE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Baycare Home Care Inc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1679810568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620, 10TH ST NORTH",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "33705",
            "telephone_number": "727-502-4144",
            "fax_number": "727-502-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 10TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337051407",
            "telephone_number": "727-502-4144",
            "fax_number": "727-502-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYCARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-11",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TIMISI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "727-470-4609",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH26585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5713032",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAYCARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.