Active NPI
Easycare Pharmacy Inc
- Community/Retail Pharmacy
- Brandon, FL
National Provider Identifier
1952603789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH24971
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.