Active NPI
Memorial Family Pharmacy
- Pharmacist
- Tampa, FL
National Provider Identifier
1881786663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- Legal business name
- MEMORIAL FAMILY PHARMACY
- Practice address
- 2919 W Swann Ave
Suite 101
Tampa, FL 33609-4038 - Phone
- (813) 874-0795
- Fax
- (813) 874-0851
- NPI assigned
- Sep 29, 2006
- 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
- Mr. Dan Fucarino, RPH
- Title
- Owner/Pharmacist
- Phone
- (813) 874-0795
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | Primary |
Addresses
Primary practice location
2919 W Swann Ave
Suite 101
Tampa, FL 33609-4038
Mailing address
2919 W Swann Ave
Suite 101
Tampa, FL 33609-4038
Phone (813) 874-0795
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1076517 | Other | FL | NABP# |
National Provider Directory
National Provider DirectoryLocations
2919 W Swann Ave
Ste 101
Tampa, FL 33609
Phone (813) 874-0795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1881786663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2919 W SWANN AVE",
"address_2": "SUITE 101",
"city": "TAMPA",
"state": "FL",
"postal_code": "336094038",
"telephone_number": "813-874-0795",
"fax_number": "813-874-0851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2919 W SWANN AVE",
"address_2": "SUITE 101",
"city": "TAMPA",
"state": "FL",
"postal_code": "336094038",
"telephone_number": "813-874-0795",
"fax_number": "813-874-0851"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMORIAL FAMILY PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FUCARINO",
"authorized_official_first_name": "DAN",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "813-874-0795",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP#",
"identifier": "1076517",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.