American Homepatient, Inc.

Organization Active NPI Pharmacy · Tampa, FL

NPI 1912979287 · NPPES record last updated Apr 7, 2016

Key facts

NPI
1912979287
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacy 333600000X
License
14279 (FL)
Legal business name
AMERICAN HOMEPATIENT, INC.
Practice address
9220 Palm River Rd
Suite 105
Tampa, FL 33619-4476
Phone
(813) 621-1799
Fax
(800) 313-7238
NPI assigned
Feb 2, 2006
Organization subpart
No

Authorized official

Name
Mr. Greg McCarthy
Title
Coo
Phone
(727) 530-7700

Member of 15

Organizations this organization is a member of, according to the National Provider Directory.

National Provider Directory

Locations

9220 Palm River Rd
Ste 105
Tampa, FL 33619
Phone (813) 621-1799

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 14279 FL
Pharmacy 333600000X 14279 FL Yes
Compounding Pharmacy 3336C0004X 14279 FL
Home Infusion Therapy Pharmacy 3336H0001X 14279 FL
Mail Order Pharmacy 3336M0002X 14279 FL

Addresses

Primary practice location

9220 Palm River Rd
Suite 105
Tampa, FL 33619-4476

Mailing address

PO Box 676594
Dallas, TX 75267-6594
Phone (918) 252-3591

Other identifiers

IdentifierTypeStateIssuer
185480003MedicaidME
300040071MMedicaidGA
OO440613MedicaidMS
142473741MedicaidAR
200319480AMedicaidIN
2086746MedicaidOH
93000784MedicaidCO
7702476MedicaidNC
OOO61897MedicaidNM
OOOO820016MedicaidDE
1266582MedicaidLA
443942200MedicaidMN
588319MedicaidIA
799800700MedicaidMD
90632290MedicaidKY
106461400MedicaidFL
622920502MedicaidMO

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 7, 2016.

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1912979287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 676594",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752676594",
            "telephone_number": "918-252-3591",
            "fax_number": "918-252-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 PALM RIVER RD",
            "address_2": "SUITE 105",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194476",
            "telephone_number": "813-621-1799",
            "fax_number": "800-313-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HOMEPATIENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "727-530-7700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "FL",
            "license": "14279",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "14279",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "FL",
            "license": "14279",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "FL",
            "license": "14279",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "FL",
            "license": "14279",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185480003",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300040071M",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OO440613",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142473741",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200319480A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2086746",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93000784",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7702476",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOO61897",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOOO820016",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1266582",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "443942200",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "588319",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "799800700",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90632290",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106461400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "622920502",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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