Active NPI
Bobo'S Drugs, Inc
- Pharmacy
- Tampa, FL
National Provider Identifier
1689675712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PH9794
- Legal business name
- BOBO'S DRUGS, INC
- Practice address
- 232 E Davis Blvd
Tampa, FL 33606-3729 - Phone
- (813) 254-1888
- Fax
- (813) 254-8396
- NPI assigned
- Aug 10, 2005
- 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
- Mr. Abraham Eli Bobo, RPH
- Title
- Owner Pharmacist
- Phone
- (813) 254-1888
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | PH9794 | FL | Primary |
Addresses
Primary practice location
232 E Davis Blvd
Tampa, FL 33606-3729
Mailing address
232 E Davis Blvd
Tampa, FL 33606-3729
Phone (813) 254-1888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1022297 | Other | FL | NABP |
| 100756400 | Medicaid | FL |
Other names 1
- DAVIS ISLANDS PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170424001191 | FL | Part B Supplier - Mass Immunization (Roster Biller Only) | 4688793706 | Practice locations: Tampa, FL |
National Provider Directory
National Provider DirectoryLocations
232 E Davis Blvd
Tampa, FL 33606
Phone (813) 254-1888
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Tampa, FL
- NPI 1245442698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370476800000",
"number": "1689675712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 E DAVIS BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063729",
"telephone_number": "813-254-1888",
"fax_number": "813-254-8396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 E DAVIS BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063729",
"telephone_number": "813-254-1888",
"fax_number": "813-254-8396"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOBO'S DRUGS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-10",
"last_updated": "2013-06-06",
"status": "A",
"authorized_official_last_name": "BOBO",
"authorized_official_first_name": "ABRAHAM",
"authorized_official_middle_name": "ELI",
"authorized_official_title_or_position": "OWNER PHARMACIST",
"authorized_official_telephone_number": "813-254-1888",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "FL",
"license": "PH9794",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "1022297",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100756400",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DAVIS ISLANDS PHARMACY",
"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 Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.