Cedars Medical Group LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

24821 Issued in FL

Legal business name

CEDARS MEDICAL GROUP LLC

Practice address

11621 Sheldon Rd
Tampa, FL 33626-4306

Phone

(813) 475-5906

Fax

(813) 475-5907

NPI assigned

Sep 7, 2010

Organization subpart

No

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

Authorized official

Name

Eileen Debien

Title

Manager

Phone

(813) 475-5906

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Bay Scripts Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1942517339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11621 SHELDON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336264306",
            "telephone_number": "407-802-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11621 SHELDON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336264306",
            "telephone_number": "813-475-5906",
            "fax_number": "813-475-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARS MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "DEBIEN",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-475-5906"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "24821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5701568",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Scripts Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sergio Roberto Ceballos, LMT
• Iwona Cebula
• Anthony Michael Cecere
• Cecilio Hernandez
• Cecilio Hernandez MD PA
• Celia Maria Cedeno Esturo
• Silvia Cedeno Herrera, RBT
• Andres Cedeno, MD
• Emily Ceely
• Bella Cefola

• 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 Apr 2, 2012; 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.