NPIMap

Organization Active NPI

Palms Pharmacy Inc

Doing business as Palms Pharmacy LTC

  • Long Term Care Pharmacy
  • Tampa, FL
National Provider Identifier
1699430413
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PALMS PHARMACY INC
Doing business as
Palms Pharmacy LTC
Practice address
17008 Palm Pointe Dr
Tampa, FL 33647-3504
Phone
(813) 252-9063
NPI assigned
Nov 5, 2021
Last updated
Apr 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Shahida Amar, PHARMDNPI 1356475503
Title
Owner
Phone
(813) 252-9063

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

17008 Palm Pointe Dr
Tampa, FL 33647-3504

Mailing address

17008 Palm Pointe Dr
Tampa, FL 33647-3504
Phone (813) 252-9063

Other identifiers 1

IdentifierTypeStateIssuer
016933100MedicaidFL

Other names 1

  • Palms Pharmacy LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Palms Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

17008 Palm Pointe Dr
Tampa, FL 33647
Phone (813) 252-9063

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1699430413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17008 PALM POINTE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473504",
            "telephone_number": "813-252-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17008 PALM POINTE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473504",
            "telephone_number": "813-252-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-05",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "AMAR",
        "authorized_official_first_name": "SHAHIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-252-9063",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016933100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palms Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palms Pharmacy LTC",
            "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 Apr 4, 2024; 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.