Deysia Susan Coffie, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS60740 Issued in FL

Practice address

5101 E Busch Blvd Ste 9
Tampa, FL 33617-5380

Phone

(813) 820-0570

Fax

(813) 756-2151

NPI assigned

May 24, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Deysia Susan Coffie Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

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.

• Sopure Pharmacy LLC

  • Community/Retail Pharmacy
  • Tampa, FL
  • NPI 1790368934
  NPD

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1861067720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LAKE PALMS DR APT 302",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338965597",
            "telephone_number": "407-797-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 E BUSCH BLVD STE 9",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336175380",
            "telephone_number": "813-820-0570",
            "fax_number": "813-756-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFIE",
        "first_name": "DEYSIA",
        "middle_name": "SUSAN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS60740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEYSIA",
            "last_name": "COFFIE",
            "middle_name": "SUSAN",
            "credential": "RPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Magdalys Coello Gonzalez, RBT-24-348023
• Lazara Coello
• Colleen Coffey, MMS, PA-C
• Henri Coffey
• Peggy Coffey, M.D.
• John Steven Coffman, AA-C
• William Brent Coffman, CRNA
• Zachary Garrett Coffman, MD
• Grace Cogan
• Julia A. Cogburn, M.D.

• Pharmacist in Tampa, FL
• Providers in Tampa, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.