Organization Active NPI

Restore Pharma, LLC

  • Community/Retail Pharmacy
  • Tampa, FL
National Provider Identifier
1699524124
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RESTORE PHARMA, LLC
Practice address
12617 Race Track Rd
Tampa, FL 33626-1331
Phone
(813) 463-8009
Fax
(813) 463-8002
NPI assigned
May 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Authorized official

Name
Dr. Steve Caddick, PHARMD
Title
Owner / Pic
Phone
(813) 111-1111

Specialties & licenses 1

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

Addresses

Primary practice location

12617 Race Track Rd
Tampa, FL 33626-1331

Mailing address

6507 Gunn Hwy
Tampa, FL 33625-4021
Phone (813) 111-1111

National Provider Directory

National Provider Directory

Locations

12617 Race Track Rd
Tampa, FL 33626
Phone (813) 463-8009

6507 Gunn Hwy
Tampa, FL 33625
Phone 8133742070 ext. 2

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1699524124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254021",
            "telephone_number": "813-111-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12617 RACE TRACK RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261331",
            "telephone_number": "813-463-8009",
            "fax_number": "813-463-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE PHARMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "CADDICK",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER / PIC",
        "authorized_official_telephone_number": "813-111-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 2, 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.