Goya Mehdi Enterprise LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GOYA MEHDI ENTERPRISE LLC

Doing business as

Goya Pharmacy

Practice address

5802 N Armenia Ave Ste 1
Tampa, FL 33603-1000

Phone

(813) 312-8522

NPI assigned

Apr 17, 2020

Last updated

Feb 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Syed Mehdi Hassanyar

Title

Owner/Pharmacist

Phone

(813) 755-4331

Specialties & licenses 1

Addresses

Other names 1

• GOYA PHARMACY Doing business as

Electronic endpoints 1

Locations

Networks

• 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 Máximo (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)…
• 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)

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1881214096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5802 N ARMENIA AVE # 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031000",
            "telephone_number": "813-312-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 N ARMENIA AVE STE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031000",
            "telephone_number": "813-312-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOYA MEHDI ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "HASSANYAR",
        "authorized_official_first_name": "SYED MEHDI",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "813-755-4331"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SOFTWARE",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "EMAIL ADDRESS",
            "address_1": "5802 N Armenia Ave Ste 1",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336031000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "GOYA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Gowen, LCSW
• Sierra Ann Gower, C.R.N.A.
• Mallory Gowey, DDS
• Daniel Bradley Gowhari, D.O.
• Camryn Justine Gowing
• GP Rides Services LLC
• GPGL Labs LLC
• Gpsnp
• Gpspnp LLC
• David Faustino Grabau, PSY.D.

• Community/Retail Pharmacy in Tampa, FL
• Providers in Tampa, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.