NPIMap

Organization Active NPI

Bayfront Hma Medical Center Pharmacy

  • Community/Retail Pharmacy
  • St Petersburg, FL
National Provider Identifier
1962792531
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH26899 Issued in FL
Legal business name
BAYFRONT HMA MEDICAL CENTER PHARMACY
Practice address
701 6TH St. S.
St Petersburg, FL 33701-4891
Phone
(727) 893-6132
Fax
(727) 893-6337
NPI assigned
Apr 15, 2011
Last updated
Mar 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Richard Alter, R.PH MBA
Title
Director of Pharmacy
Phone
(727) 893-6132

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH8240 FL
Community/Retail Pharmacy 3336C0003X PH26899 FL Primary

Addresses

Primary practice location

701 6TH St. S.
St Petersburg, FL 33701-4891

Mailing address

701 6TH St. S.
St. Petersburg, FL 33701-4891
Phone (727) 893-6334

Other identifiers 2

IdentifierTypeStateIssuer
5705364OtherNCPDP PROVIDER IDENTIFICATION NUMBER
004416000MedicaidFL

Other names 1

  • Bayscripts Retail Pharmacy Other name

National Provider Directory

National Provider Directory
Tax ID family
Bayfront Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1302825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1962792531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 6TH ST. S.",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337014891",
            "telephone_number": "727-893-6334",
            "fax_number": "727-893-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 6TH ST. S.",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014891",
            "telephone_number": "727-893-6132",
            "fax_number": "727-893-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYFRONT HMA MEDICAL CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-15",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "ALTER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "727-893-6132",
        "authorized_official_credential": "R.PH MBA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH8240",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH26899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5705364",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004416000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayscripts Retail Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.