Active NPI
Derek Firlejczyk, RPH.
- Pharmacist
- Tampa, FL
National Provider Identifier
1801118500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS37563
- Practice address
- 5400 E Busch Blvd
Tampa, FL 33617-5418 - Phone
- (813) 985-7479
- NPI assigned
- Feb 22, 2010
- Last updated
- Feb 22, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS37563 | FL | Primary |
| Pharmacist | 183500000X | PH22782 | MA | |
| Pharmacist | 183500000X | S011113 | AZ |
Addresses
Primary practice location
5400 E Busch Blvd
Tampa, FL 33617-5418
Mailing address
5400 E Busch Blvd
Tampa, FL 33617-5418
Phone (813) 985-7479
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S011113 | AZ | MD | Pharmacist |
| PS37563 | FL | MD | Pharmacist |
| PH22782 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1801118500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 E BUSCH BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336175418",
"telephone_number": "813-985-7479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 E BUSCH BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336175418",
"telephone_number": "813-985-7479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIRLEJCZYK",
"first_name": "DEREK",
"name_prefix": "Mr.",
"credential": "RPH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-22",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS37563",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH22782",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S011113",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
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- First Choice Nurse Registry LLC
- First Choice Patient Care Inc
- First Choice Personal Injury Clinic, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.