Active NPI
Nicholas Anthony Lopez, PHARMD, CPH
- Pharmacist
- Tampa, FL
National Provider Identifier
1831909449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS65077
- Practice address
- 3301 W Waters Ave Ste 101
Tampa, FL 33614-2789 - Phone
- (813) 868-6800
- Fax
- (813) 868-6802
- NPI assigned
- Jan 8, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS65077 | FL | Primary |
Addresses
Primary practice location
3301 W Waters Ave Ste 101
Tampa, FL 33614-2789
Mailing address
6314 Cherry Blossom TRL
Gibsonton, FL 33534-3001
Phone (609) 680-4296
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 |
|---|---|---|---|
| PS65077 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthlink Pharmacy LLC | Pharmacist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1831909449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6314 CHERRY BLOSSOM TRL",
"city": "GIBSONTON",
"state": "FL",
"postal_code": "335343001",
"telephone_number": "609-680-4296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 W WATERS AVE STE 101",
"city": "TAMPA",
"state": "FL",
"postal_code": "336142789",
"telephone_number": "813-868-6800",
"fax_number": "813-868-6802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "NICHOLAS",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "PHARMD, CPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-08",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS65077",
"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 8, 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.