Medipharm-RX,Inc.(Special Closed System)

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PH21000 Issued in FL

Legal business name

MEDIPHARM-RX,INC.(SPECIAL CLOSED SYSTEM)

Practice address

4607 N Clark Ave
Tampa, FL 33614-7038

Phone

(813) 876-0881

Fax

(813) 876-0883

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Diane L Ellis, RPH

Title

Pharmacist in Charge

Phone

(813) 876-0881

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Medipharm RX2 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.

• Medipharm RX Inc

  • Institutional Pharmacy
  • Tampa, FL
  • NPI 1245275452
  NPD tax ID

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942374012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 N CLARK AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147038",
            "telephone_number": "813-876-0881",
            "fax_number": "813-876-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 N CLARK AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147038",
            "telephone_number": "813-876-0881",
            "fax_number": "813-876-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIPHARM-RX,INC.(SPECIAL CLOSED SYSTEM)",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "813-876-0881",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH21000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA PHARMACY LICENSE",
            "identifier": "PH21000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Medina
• Vivian Medina, D.D.S.
• Yarelis Medina, LCSW
• Zineb Mediouni, D.M.D.
• Medipharm RX Inc
• Meditech Medical Centers, LLC
• Mediwedge Inc
• Medizen Healthcare
• Medline Enterprises Inc
• Roger Charles Medrano, L.M.T.

• Long Term Care Pharmacy in Tampa, FL
• Providers in Tampa, FL by specialty
• Long Term Care Pharmacy in Florida

• 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.

Verify at the official NPI Registry.