Organization Active NPI

Bell Pharmacy 009 LLC

  • Community/Retail Pharmacy
  • Clearwater, FL
National Provider Identifier
1902751001
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BELL PHARMACY 009 LLC
Doing business as
Bell Pharmacy 009
Practice address
915 Chestnut St Ste B
Clearwater, FL 33756-5643
Phone
(407) 760-7351
NPI assigned
Mar 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Authorized official

Name
Jacob Vandeventer, PHARMD
Title
Admin
Phone
(407) 760-7351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

915 Chestnut St Ste B
Clearwater, FL 33756-5643

Mailing address

915 Chestnut St Ste B
Clearwater, FL 33756-5643
Phone (407) 760-7351

Other names 1

  • Bell Pharmacy 009 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260619001579 FL Part B Supplier - Mass Immunization (Roster Biller Only) 8921571019 Practice locations: Clearwater, FL

National Provider Directory

National Provider Directory
Tax ID family
Bell Pharmacy 0092 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1902751001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 CHESTNUT ST STE B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565643",
            "telephone_number": "407-760-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 CHESTNUT ST STE B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565643",
            "telephone_number": "407-760-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELL PHARMACY 009 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "VANDEVENTER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "407-760-7351",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bell Pharmacy 009",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.

Verify at the official NPI Registry.