Organization Active NPI

Easycare Pharmacy Inc

  • Community/Retail Pharmacy
  • Brandon, FL
National Provider Identifier
1952603789
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH24971 Issued in FL
Legal business name
EASYCARE PHARMACY INC
Practice address
210 S Kings Ave
Unit L
Brandon, FL 33511-5705
Phone
(813) 381-3963
Fax
(813) 438-5911
NPI assigned
Nov 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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

Authorized official

Name
Mr. Chidozie Sylvanus Enwere
Title
Pharmacy Manager
Phone
(813) 381-3963

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X PH24971 FL Primary

Addresses

Primary practice location

210 S Kings Ave
Unit L
Brandon, FL 33511-5705

Mailing address

210 S Kings Ave
Unit L
Brandon, FL 33511-5705
Phone (813) 381-3963

Other names 1

  • N/A Other name

National Provider Directory

National Provider Directory

Locations

210 S Kings Ave
Ste L
Brandon, FL 33511
Phone (813) 381-3963

NPI Registry JSON

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1952603789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S KINGS AVE",
            "address_2": "UNIT L",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115705",
            "telephone_number": "813-381-3963",
            "fax_number": "813-438-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S KINGS AVE",
            "address_2": "UNIT L",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115705",
            "telephone_number": "813-381-3963",
            "fax_number": "813-438-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASYCARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "ENWERE",
        "authorized_official_first_name": "CHIDOZIE",
        "authorized_official_middle_name": "SYLVANUS",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "813-381-3963",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.