Virgin Marys Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VIRGIN MARYS PHARMACY CORP

Practice address

14606 N Dale Mabry
Tampa, FL 33618

Phone

(813) 505-6684

NPI assigned

Mar 5, 2020

Organization subpart

No

Name

Amonyous AbdelmalakNPI 1831565787

Title

Pharmacy Manager

Phone

(813) 252-7799

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

• Amonyous Abdelmalak

  • Pharmacist
  • Tampa, FL
  • NPI 1831565787
  NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

• True vine pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 20, 2021.

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1730714130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25710 FRITH ST",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346395682",
            "telephone_number": "813-505-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14606 N DALE MABRY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33618",
            "telephone_number": "813-505-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGIN MARYS PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-05",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "ABDELMALAK",
        "authorized_official_first_name": "AMONYOUS",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "813-252-7799"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "True vine pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "True vine pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vipul V Kabaria MD PA
• Ravi Viradia, M.D.
• Nazeem A Virani, M.D.
• Betty Virella, LCSW
• Danielle Virgili
• Ammara Qamar Virk, MD
• Virtualpsych Solutions, LLC
• Vikrant Virupannavar, M.D.
• Visavis Health Care Medical Group of FL, PLLC
• Kathryn Visco, SW

• All providers in Tampa, FL
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.

Verify at the official NPI Registry.