Pharmacore RX LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PH29739 Issued in FL

Legal business name

PHARMACORE RX LLC

Doing business as

Pharmacore Rx

Practice address

13930 Lynmar Blvd
Tampa, FL 33626-3123

Phone

(813) 580-8040

Fax

(813) 580-8041

NPI assigned

Jan 8, 2016

Last updated

Mar 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Cabrera

Title

Pharmacy Director

Phone

(813) 580-8040

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Pharmacore Rx Doing business as

Tax ID family

Pharmacore3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Pharmacore RX LLC

  • Pharmacy
  • Tampa, FL
  • NPI 1750927588
  NPD tax ID
• Pharmacore RX LLC

  dba Pharmacore

  • Pharmacy
  • Tampa, FL
  • NPI 1821727462
  NPD tax ID

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 Máximo (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)

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1790141570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5406 HOOVER BLVD STE 19",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345330",
            "telephone_number": "813-580-8040",
            "fax_number": "813-580-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13930 LYNMAR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263123",
            "telephone_number": "813-580-8040",
            "fax_number": "813-580-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACORE RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "813-580-8040"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH29739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016885600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157794",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacore Rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pharmacore Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria Hien Phan
• Juliet Elizabeth Phaneuf
• Pharma-Ville Inc (Yoda Compassionate Care)
• Pharmaceutical Specialties, Inc. (Hoye's Pharmacy)
• Pharmacore RX LLC
• Pharmacore RX LLC (Pharmacore)
• Pharmacy of Tama, Inc
• Pharmax Specialty Pharmacy Inc (CLRX Pharmacy Tampa)
• Pharmscript of Florida LLC
• Pharmxpress Limited Liability Company (PharmXpress LLC)

• Long Term Care Pharmacy in Tampa, FL
• Providers in Tampa, FL by specialty
• Long Term Care Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.