Active NPI
HM Brandon LLC
- Community/Retail Pharmacy
- Brandon, FL
National Provider Identifier
1871999516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH28695
- Legal business name
- HM BRANDON LLC
- Doing business as
- TOTAL CARE PHARMACY OF BRANDON
- Practice address
- 116 Parsons Park Dr
Brandon, FL 33511-6066 - Phone
- (813) 315-3774
- Fax
- (813) 662-4792
- NPI assigned
- Nov 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harshadkumar Patel
- Title
- Owner
- Phone
- (813) 662-4791
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PH28695 | FL | Primary |
| Compounding Pharmacy | 3336C0004X | PH28695 | FL |
Addresses
Primary practice location
116 Parsons Park Dr
Brandon, FL 33511-6066
Mailing address
805 E Bloomingdale Ave Ste 302
Brandon, FL 33511-8113
Phone (813) 689-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 198989957 | Medicaid | FL |
Other names 1
- TOTAL CARE PHARMACY OF BRANDON
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210128000199 | FL | Part B Supplier - Mass Immunization (Roster Biller Only) | 2860806163 | Practice locations: Brandon, FL |
National Provider Directory
National Provider DirectoryLocations
123 W Bloomingdale Ave
Ste 302
Brandon, FL 33511
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Pomona, CA
- NPI 1790052991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648684800000",
"number": "1871999516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 E BLOOMINGDALE AVE STE 302",
"city": "BRANDON",
"state": "FL",
"postal_code": "335118113",
"telephone_number": "813-689-2273",
"fax_number": "813-662-4792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 PARSONS PARK DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335116066",
"telephone_number": "813-315-3774",
"fax_number": "813-662-4792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HM BRANDON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-07",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "HARSHADKUMAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-662-4791"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH28695",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "FL",
"license": "PH28695",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "198989957",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TOTAL CARE PHARMACY OF BRANDON",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "TOTAL CARE PHARMACY OF BRANDON",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.