Organization Active NPI

Sol Lab LLC

  • Compounding Pharmacy
  • Saint Petersburg, FL
National Provider Identifier
1760298988
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
SOL LAB LLC
Practice address
4002 Park St N
Saint Petersburg, FL 33709
Phone
(727) 287-0941
Fax
(727) 287-0938
NPI assigned
Dec 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Mr. Andres BenerosoNPI 1770187437
Title
Director of Pharmacy
Phone
(813) 465-0755

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
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

4002 Park St N
Saint Petersburg, FL 33709

Mailing address

4002 Park St N
Saint Petersburg, FL 33777
Phone (813) 465-0755

National Provider Directory

National Provider Directory

Locations

4002 Park St N
Saint Petersburg, FL 33709
Phone (727) 287-0941

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": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1760298988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 PARK ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "33777",
            "telephone_number": "813-465-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 PARK ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "33709",
            "telephone_number": "727-287-0941",
            "fax_number": "727-287-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOL LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "BENEROSO",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "813-465-0755",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.