Active NPI
Madhurima Das, M. PHARM
- Pharmacist
- Tampa, FL
National Provider Identifier
1770853517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS31390
- Practice address
- 12211 W Hillsborough Ave
Tampa, FL 33635-9778 - Phone
- (813) 925-1100
- Fax
- (813) 925-1040
- NPI assigned
- Jan 11, 2012
- Last updated
- Jan 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS31390 | FL | Primary |
Addresses
Primary practice location
12211 W Hillsborough Ave
Tampa, FL 33635-9778
Mailing address
12211 W Hillsborough Ave
Tampa, FL 33635
Phone (813) 925-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS31390 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1770853517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12211 W HILLSBOROUGH AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "33635",
"telephone_number": "813-925-1100",
"fax_number": "813-925-1040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12211 W HILLSBOROUGH AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336359778",
"telephone_number": "813-925-1100",
"fax_number": "813-925-1040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAS",
"first_name": "MADHURIMA",
"name_prefix": "Ms.",
"credential": "M. PHARM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-11",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS31390",
"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 Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.