GPS Pharmacy-Tampa LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PH30706 Issued in FL

Legal business name

GPS PHARMACY-TAMPA LLC

Doing business as

Gulf Pharmacy Services

Practice address

2846 Broadway Center Blvd
Brandon, FL 33510

Phone

(866) 522-2822

Fax

(813) 515-5686

NPI assigned

Jul 24, 2017

Last updated

Jan 11, 2021By 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

Kirit Patidar

Title

Pharmacy Manager

Phone

(813) 927-2521

Specialties & licenses 1

Addresses

Other names 1

• Gulf Pharmacy Services Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1790208510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2846 BROADWAY CENTER BLVD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33510",
            "telephone_number": "866-522-2822",
            "fax_number": "813-515-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2846 BROADWAY CENTER BLVD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33510",
            "telephone_number": "866-522-2822",
            "fax_number": "813-515-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GPS PHARMACY-TAMPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "PATIDAR",
        "authorized_official_first_name": "KIRIT",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "813-927-2521"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH30706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Pharmacy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Lee Gorrell, CNM
• Jasmin Gosen, MD
• Holli Gotsis
• Zachary A Gottfried
• Umesh Linge Gowda, MD
• Grace Lyne Alf Inc
• Graceful Medical Supply Inc
• Jenna Graepel
• Heidi Graff, AA
• Shannon Graham, RD

• Long Term Care Pharmacy in Brandon, FL
• Providers in Brandon, 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 Jan 11, 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.