Organization Active NPI

Hudson Drugs LLC

  • Community/Retail Pharmacy
  • Tampa, FL
National Provider Identifier
1841435914
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH 23728 Issued in FL
Legal business name
HUDSON DRUGS LLC
Doing business as
HUDSON DRUGS LLC
Practice address
7211 N Dale Mabry Hwy Ste 101
Tampa, FL 33614-2669
Phone
(813) 961-5790
NPI assigned
Dec 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Authorized official

Name
Dhaval ZaveriNPI 1659929016
Title
RX Manager / Owner
Phone
(813) 961-5790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH 23728 FL Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

7211 N Dale Mabry Hwy Ste 101
Tampa, FL 33614-2669

Mailing address

7211 N Dale Mabry Hwy Ste 101
Tampa, FL 33614-2669
Phone (813) 961-5790

Other identifiers 2

IdentifierTypeStateIssuer
1040283OtherNCPDP PROVIDER IDENTIFICATION NUMBER
000766100MedicaidFL

Other names 1

  • HUDSON DRUGS LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220720001887 FL Part B Supplier - Mass Immunization (Roster Biller Only) 8123214111 Practice locations: Tampa, FL

National Provider Directory

National Provider Directory
Tax ID family
Hudson Drugs LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

7211 N Dale Mabry Hwy
Ste 101
Tampa, FL 33614
Phone (813) 961-5790

11010 N Dale Mabry Hwy
Ste 104
Tampa, FL 33618

Networks

  • 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)
  • 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 Maximo (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)…

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1841435914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 N DALE MABRY HWY STE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142669",
            "telephone_number": "813-961-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 N DALE MABRY HWY STE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142669",
            "telephone_number": "813-961-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "ZAVERI",
        "authorized_official_first_name": "DHAVAL",
        "authorized_official_title_or_position": "RX MANAGER / OWNER",
        "authorized_official_telephone_number": "813-961-5790"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH 23728",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1040283",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000766100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HUDSON DRUGS LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HUDSON DRUGS LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 15, 2019; 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.