NPIMap

Organization Active NPI

Xtra Care Pharmacy

  • Community/Retail Pharmacy
  • Riverview, FL
National Provider Identifier
1952749632
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH26712 Issued in FL
Legal business name
XTRA CARE PHARMACY
Practice address
6520 US Highway 301 S
Suite 106
Riverview, FL 33578-4347
Phone
(813) 598-0593
NPI assigned
Jun 4, 2013
Last updated
Jun 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Authorized official

Name
Mildred Peterside
Title
Pic/Owner
Phone
(813) 598-0593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH26712 FL Primary

Addresses

Primary practice location

6520 US Highway 301 S
Suite 106
Riverview, FL 33578-4347

Mailing address

6520 US Highway 301 S
Suite 106
Riverview, FL 33578-4347
Phone (813) 598-0593

National Provider Directory

National Provider Directory
Tax ID family
Xtra Care Pharmacy2 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.

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1952749632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 US HIGHWAY 301 S",
            "address_2": "SUITE 106",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784347",
            "telephone_number": "813-598-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 US HIGHWAY 301 S",
            "address_2": "SUITE 106",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784347",
            "telephone_number": "813-598-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XTRA CARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "PETERSIDE",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "813-598-0593"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH26712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.