Lissmart Medical Supplies Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PH24199 Issued in FL

Legal business name

LISSMART MEDICAL SUPPLIES INC

Practice address

4579 Gunn Hwy
Tampa, FL 33624-6311

Phone

(813) 374-2452

Fax

(813) 374-2453

NPI assigned

Dec 8, 2009

Organization subpart

No

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

Authorized official

Name

Lisvet Martinez

Title

President

Phone

(813) 374-2452

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• LISSMART PHARMACY Doing business as

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1851620629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4579 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336246311",
            "telephone_number": "813-374-2452",
            "fax_number": "813-374-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4579 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336246311",
            "telephone_number": "813-374-2452",
            "fax_number": "813-374-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISSMART MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LISVET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-374-2452"
    },
    "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": "PH24199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1053076",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032313600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LISSMART PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Bentivenga LCSW P LLC
• Lisa Indelicato SLP-Pros, Inc
• Lisa M. Petrica-Moser, PH.D. Inc.
• Lisset Maria Suarez MD PA
• Lissmart Medical Supplies Inc
• Lissmart Medical Supply, Inc
• Lissmart Rehabilitation of Tampa,Inc
• Alan List, MD
• Brock Lister
• Jennifer Jones Lister, PH.D.

• 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 May 17, 2013; 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.